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7000 SW 62 AVE PARKING STUDY-000 Property Information Map Page 1 of 1 My Home Miami-Dade County, Florida MIAMI•DACE Property Information Map Summary Details: _ Folio No.: 09-4025-000-0591 Pro 9W 62 AVF _ Mailing CAPSTONE CAPITAL Address: TRUSTINC C/O PROPERTY TAX DEPARTMENT rk 3310 WEST END AVENUE ? 00 NASHVILLE TN 37 03 Property Information: Prima Zone: CLUC: 0013 OFFICE BUILDING s. Beds/Baths: 0/0 1 it Floors: 7 Living Units: 0 r Adj Sq Footage: 241,812 Lot Size: 48,687 SQ FT w+ ? Year Built: 1972 25 54 40 1.12 AC M/L G r I E330.87FT OF S130FT C OF N245FT OF 8F I/4 4 Legal OF SE1/4 OF SW1/4 * Description: LESS F35 FT&E149FT ±. p OF N115FT OF SE1/4 " OF SE1/4 OF SW1/4 LESS C35FT&N25FT * - Assessment Information: Year: 2010 2009 Land Value: $2,921,220 $3,894,960 I Building Value: $10,309,085$10,309,085 Aerial Photography-2009 0 65 ft Market Value: $13,230,305$14,204,045 This map was created on 3/30/2011 7:41:12 PM for reference purposes only. Assessed Value: $13,230,305$13,749,516 Taxable Value Information: Web Site©2002 Miami-Dade County.All rights reserved. ear: 2010 2009 Applied Applied Taxing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $0/ $0/ $13,230,305$13,749,516 County: $0/ $0/ $13,230,305$13,749,516 City: $0/ $0/ $13,230,305$13,749,516 School Board: $0/ $0/ $13,230,305$14,204,045 Sale Information: Sale Date: 6/1994 Sale Amount: $13,250,000 Sale O/R: 16439-1774 Sales Qualification Other disqualified Description: View Additional Sales http://gisims2.miamidade.gov/myhome/printmap.asp?mapurl=http://gisims2.miamidade.go... 3/30/2011 Miami-Dade My Home Page 2 of 2 Additional Information: Click here to see more information for this property: Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary oning Non-Ad Valorem Assessments 1� http://gisims2.miamidade.gov/myhome/propmap.asp 3/29/2011 2ooO 3 - � U 7a, Qoms A -43 b4� Af- e� c CALDWELL PLAZA C'ORPORA'TIO-,'q Permit 417154 7000 STET 62 Avenue :, 1-10-72 Sec . 25-54-40 Office .Building & Parking (See Addn. Card for Legal) Ga.rage $2 , 500, 000. Office Bldg. 116, 170 sq. ft.- Variance granted 1/17/78 Garage 60, 818 sq. ft. Fred Howland Inc . Electric : #10253 3-29-72 Lamson & Tyre 3 .00 #10304 7/18/72 Lamson & Tyre 474 . 35 ##10457 2/21/73 Lamson & Tyre 7 .25 Plumbing: . #10537 4-27-72 Port-O-Sam 4 . 00.;' #$1056. 3 5-31-72 Poole & Kent 411.50 #2536 9/7/72 Port-O-Sa.n Int' 1. 4 . 00 Roof: Building: #17350 5-31-72 Poole & Kent 600 .00 ##17601 1/16/73 West�inghouse Elec . 44 . 00 Electric: 410530 9/7/'73' , Lamson-Tyre $13 .65 #$10529 9/7/73 La.mson-Tyre .9. 65 #10587 11/16/73 Lamson-Tyre 46 .00 #10645 2/7/74 Lamson-Tyre 8. 50 ##10714 10/3/74 Lamson-Tyre 113 .50 #10729 12/12/74 Brothers Elec . 3 .50 Plumbing: #662 9/17/74 City Plmbg. $22 .50 #678 .12/10/74 Paul Rhyne $4.00 #688 1/21/75 Home Gas Co. 3 .25 Electric: #10714 10/3/74 Lamson-Tyre $113 .50 Building: #$18651 5/27/75 F. Camp, Jr. 15. 00 #19949 6/10/77 Bernard Sork 17. 50 -420339 12/15/77 Clark-Biondi Co. 37 .50 Electric : 410473 4/13/73 - Tam�on y�e Elec . 84. 75 Plumbing: #407 4/10/73 R. T. Chapman $ 14 .00 #416 4/20/73 City Plumbing 40. 00 #423 4/27/73 Sun Gold Ind. 4 .00 ` Building: #17702 4/2/73 Gelfand Roofing, Inc . $35 :00 #17726 4/19/73 City Plumbing Co.A/C 163 .00 #17721 4/17/73 Claude Ma.int. & Serv. 10. 00 U #17753 5/8/73 City Plumbing 17. 00 #17751 5/4/73 McCallum Caldwell Corp. 55 . 00 #17769 5/24/73- McCallum 22 . 00 #17770 5/24/73 McCallum Caldwell 3 .50 CALDWELL PLAZA CORPORATION (CONTINUED) 7000 SW 62 Ave. Electric : #10518 8/14/73 Lamson-Tyre $19.85 #10519 . 8/14/73 Lamson-Tyre 22 .50 #10531 9/7/73 Lamson-Tyre 10.80 Plumbing: #481 10/11/73 City Plmbg . 25 .00 #493 10/29/73 F. McGilvray 5 .00 Roof: Building: #17810 7/17/73 Sever Paving Co. $24.00 #17834 8/3/73 Caldwell Plaza. 41.50 #18019 1/16/74 McCa.11um-Caldwell 75 . 50 #18236 6/18/74 D. Tilling 10.00.• -Caldwell 75 . 0 #18413 10/4/74 McCallum 0 CALDWELL PLAZA CORPORATION (CONTYNUEn) 7000 -S . W. 62 Avenue Electric: 4- 10786 6/10/75 Brimson Electric .$4.25 #10959 4/21/76 Bortz & Son Electrical 3.00 #10963 5/3/76 Earl Thomas Elec . 3 .00 #11014 7/20/76 va.ldes Electric 6. 25 #11277 12/16/77 Anchor Electric 56.28 y Building,_.#18942 /2/31/75 Gengis Assoc . 5 .00 19183 4/27/76 B. Sork 5.00 Plumbing #937 4/23/76 Brooks Amer. Sprinkler 5.00 ##1104 2/18/77 A. L. Hildebrandt 40.75 #1164 5/13/77 A . L. Hildebrand 21.25 CALj)WET T, PLAZA CORPORATION (CONTINUED) 7000 S . W. 62 Avenue Electric: 11165 6/14/77 Earl Thomas $5.00 #11402 9/8/78 Elec. & Comm. Contr. 6.00 Plumbing: #1450 8/31/78 Christensen Plumbing 10.00 Building: #20214 10/12/77 Hair Unlimited Inc. 17.50 5; #20618 6/1/78 Bengis Assoc . 20.00 #20797 8/29/78 Edw. Malm, Inc. 12 .50 ##20810 9/12/78 The Clark Biondi Co. 47.50 #20998 12/21/78 Floyd E. Camp 17. 50 12 . 50 #21059 1/25/79 Clark-Biondi Co. Electric: 411043 9/9/76 Earl. V. Thomas $,3 .00 (AAA) #11107 2/16/77 Tri Star Electric $229.20 (Mickey' s) #$11120 3/15/77 Anchor Electric $5 . 00 (3rd Floor) #11559 6/22/79 Carmen Electric 6.00 { Building: ##19354 "7/7/76 Perfect Constr. . $7.50 . j ##19469 - 9/2/76 Bernard Sork 5 .00 (AA # 1,9724 2%10/77 Carlson Constr. 402 .50 (Mickey' s Rest. )##19764 3/10/77 Clark Biondi -Co. 12 .50 (AAA) #19765 3/11/77 _ Southeast Mech. - Const. 51.00 ##19984 6/22/77 Clark-Biondi Co. 12 .50 ; ##19985 6/22/77 Clark-Biondi Co. 12 .50 Electric : 411404 9/12/78 Anchor tledtrid Thd. *10.00 411514 4/3/79 Carmen Electric 5.50 ##11526 4/18/79 Carmen Electric 8.00" ##11541 5/9/79 Monahan' s Electric 15.00 Plumbing : ##1451 9/12/78 Horne Plumbing 57.50 #1598 6/29/79 Horne Plumbing 7.50 Building: #21214 4/3/79 U. S . Const. Corp. 27.50 #$21242 4/17/79 U. S . -Const. Corp. 27.50 ##21274 5/7/79 U. S. Const. Corp. 27.50 ##21381 6/21/79 U. S . Const. Corp. 22 .50 ##21512 8/23/79 Felipe E. Oruna 62 .50 X621826 2/6/80 Carlos Iglesias Inc . 62 . 50 Electric : #11662 2/11/80 Marpin Corp . 48 . 00 CALDWELL PLAZA CORPORATION (CONTINUED) 7000 SW 62 Avenue Electric : #11718 5/6/80 Marpin Corp . 54 . 50 #11728 5/29/80 Marpin Corp . 22 . 00 #11765 8/6/80 Rbt . E . Lastra Elec . 31 . 50 ( 510) #11777 10/7/80 R. E . Lastra 15 . 50 Plumbing : #1719 2/21/80 Nelmar Plumbing $7 . 50 Building : #21910 3/25/80 Al Springer Rfg. 8 . 00 { #21916 3/26/80 Iglessias 5 . 00 a Ste . 500) #21990 5/2/80 Carlon J . Iglesias 132 . 50 3 #22003 5/13/80 Isotech 32 . 50 #22022 5/27/80 C . Iglesias 37 . 50 Ste . 506) #22073 6/30/80 Isotect , Inc . - PLAZA 7000 ',('CONTINUED ) 7000 S . W. 62 Avenue. Building : ( 560 ) #22520 4/14/81 Isotech Corp . 20 . 00 ('532 ) #22536 4/22/81 C . Eglesias 45 . 00 (532 ) #22545 4/29/81 Isotech Corp . 10 . 00 ( 530 ) #22565 5/7/81 C . Iglesias 60 . 00 (530 ) #22570 5/12/81 Isotech Corp . 10 . 00 ( 600 ) #22581 5/19/81 Carlos Iglesias 435 . 0( ( 600) #22607 6/5/81 Isotech Corp . 15 .00: ( 650 ) #22650 6/30/81 Carlos Iglesias 120 . & (520 & 525 ) #22761 9/24/81 Carmel Dev . Group 15 . 0C ( 570 ) #23198 7/28/82 S . Brodie 22 . 50 ( 570 ) #23217 -8/11 /82 AMCO Const . 15 . 00 Plumbing : #176-9 6/2/80 Nelmar Plumbing_ 7 . 50 _ #1862 1 /12/81 Nelmar Plumbing 15 . 00 Electric: #11770 9/24/80 R. E . Lastra Elec . 64 . 50 ( PH---G) 111804 12/12/80 A To Z Electric - -- 18 . 50 570 ) #12059 7/30/82 Cayamas Electric Corp: 80 .50 - Building : - #22120 - 8/5/80 C .- -Iglesias-; ' Inc-: 90 .-00 - - ----22144 - 8/29/80 I-sotech--Corp . -- -- -=-- -- - 15 .-00------ __.__. #_22173 _ 9/_18/80.... ... arlo-s__Igle.sias -Inc, -____187-.-50. X622195-_ 9/25/80 ---Isotech--Cor ----- -----.#22208 9/30/80 Carlos Iglesias Inc . 27 . 50 2330 1 2/8/80 Bori s Vi chot'-- __82 . 5 0 - -- ( PH-G ) #22496 - 4/3/81-- -Central - A/C 15-.-00 (560 ) #22513 4/13/81 Carlos Egles-ias Inc . - 120 . 00 Electric : ( 560 ) #11868 4/20/81 Robert Lastra 83 . 50 ( 532 ) #11873 4/30/81 Robert Lastra 17 . 75 ( 530 ) #11878 5/11 /81 Robert Lastra 34 . 25 (600 ) #11888 6/8/81 R . E . Lastra 210 . 00 (630 ) #11902 6/30/81 R. E . Lastra 81 . 25 Additional fee Pd . 8/21 /81 141 . 00 (600 ) #11888 Addn . ' l Fee Pd . 8/21 /81 525 . 00 Plumbing : ( 560 ) #1905 4/20/81 Nelmar Plumbing 17 . 25 (600 ) - 6/8/81 Nelmar Plumbing 47 . 25 ( 570 ) #2146 8/11 /82 Action Plumbing 15 . 00 .L.AZA_: 700Q — . (CONTINUED). - , = 7000 S . W . 62 Avenue Electric : ( 306 , 309 ) #12068 9/13/82 Lind Elec . 15 . 00 #12119 1 /10../83 Handsel Elec . 28 . 75 (306) #38 6/15/83 Interval International 47.50 #232 7/6/84 Brody & Marder 20 . 001 #237 7/10/84. Lysinger & Wirick 20 . 00 #316 11/15/84 Biscayne Elect. 155.00 #575 3/27/86 BRIMSON ELECTRIC (HAIR UNLIMITED) 20.00 PLUMBING: #459 3/19/86 RICHARD'S PLUMBING_ (HAIR UNLIMITED) 24.00 ELECTRIC: #606 4/28/86 WATTS ELECTRIC 20.00 Building : #23422 1 /12/83 , Biltmore 45 . 00 ( 306 ) #563 - 3/15/84 - No Sweat A/C 15 . 00 #727 6/13/84 J . C . Williams Paving 20 . 00 ( 570) #756 6/28/84 Amco Const .: Corp . 37 . 50 ( 570 ) #759 6/29/84 Air & Heat Unlimited 20 . 00 PENTHOUSE)#1296 6/17/85 P.E.PADEMACHER 30.00 #1602 12/27/35 CAPITAL ROOFING 135.00 #1846 4/25/86 M.B.S. INTERIOR REMODELING (401) 30.00 1d3S S,�10,�3A�ln! 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CO W LL W �_ Lu 0 IA _j < c J p (n O (Lj O WO < 3wWt 9 ft d[B L•/8 - W z J = U. Z WO J J 0 � N � O W z° J ul 0 cc tip i a- O (y- 3 < � 4s, z y ,._ 9 '. ., ::._•. 114,06(M).114 oiR)�.o r:oN s1DEV�r�1.1� 1 .5�a 35' 35 'Io•0• -1.10' FOUND oo . ' C 55�` 25.3' IRON PipC- oho ��2s; co SN�•z6.�,.p.... eoj 3'� o p4•'0 n, b 0 Z — \\ 7.70 c°y : Lj 6 i o w oO J .a 'W }- _ ; p� �N is. o' 2ro•�o. Q 3 'as ®0 91 W'. Iill ol -0 :oC E'K►.ST11.1G p`p`v Wu I l..I)IAIG / 0 s� m ie %3• =v o QUr51DE EDGE" 113.75' W _ O o E / ��/n 04 m IS. N Z OF 1.39 OECORQTIV �U' /cn /0.3 kQ a ' CONC. FACINGON P/L 181,8Z'(R)(M) �% /' � 4 �6O p SEVEN STORY //, uJ 23.10 C B. S ,` 850 ��30 OFFICE BUILDING 5LDGS /� `'' ;�tv FIN. FL.ELEV : 12. 83 FT. Q A BUT-1 6: -o N' 1-- / OVERHEAD o N 0 �. e / b 0, c cn W / h f / Uo b. W s. u SIX STORY C.B. S. m a'. / PARKING STRUCTURE. IA o 0. CONC DRI WAY o z I �� N e Qo 6E LOW• o' q y ti. Ok; BUILDING A50VE. ° f /u1. '• a e �� 1J /�� c m t*t-� 31.5?' +• �°, a: /� 9 i ' f/ ' ` /� / w�V 1. ti l 0, In 8.8• m 90°24' �, X153 3c� /, % 35 z. n„rcnF c_ar,E 2.�1 an'+� n.5'CoNC•FENCE FOUND I h^ CITY OF SOUTH MIAMI PSe100-1 PERMIT ( - l BUILDING AND ZONWC- REV, 3-15-71 ND. 7 FOLIO NUMBER: TYPE OR PRINT APPLICANT FILL INSIDE T� BUILDING PERMIT APPLICATION HEAVYLINES DESCRIPTION OF PROPERTY: The East 149 Peet of the North 115 feet of the Last of the OWNER Caldwell Plaza Corp. TEL NO 667-6497 Southeast k of the Southeast -� of the Southwest -� of section 25, Township 54 South, Range 40 East and the South 130 feet of MAIL ADDRESS 5948 S. W. 73 .St., Miami, Fla OWNER-BUILO£R the North 245 feet of the East � of the Southeast ' of the /�Q QUALIFIED Y N CNECKEO BY (Southeast � of the Southwest k of section 25, Township 54 s,ILDING Co.". Fred Howland, Inc ATEL NO 6 1 RCD CARD ELEV.SURV. ORAIxA4[KLAN M-PL.ELEV. South, Range 40 East, all lying and being i,'2 Dame County, Florida. REO`D ELEV.3UR V. NECKEO(PROJ.I�Y�N�ABOV£M.S.L._ MAIL ADDRESS N W 20th St Miami Fla. Y£LLOw NUMBER TEST. CONCRETE CARD_\'_N TESTS REOUIR[D ARCHITECT Gamble & Gilroy E... PILE 0.— T SURER._Y_N-SURER._Y_N-OTM H. V CR� ENGINEER JE Ross 6ROUR AND TYPE CONTRACTOR DIVISION tON3T. DUAL.TO SUtLO_Y_N- PRCPAS U71" SHOP DWGS. SEAL LEGAL DESCRIPTION OF JOB: LOT NO. BLOCK NO. APPROVED—Y—N—REGUi B—Y�N_REOD._Y_N_ SW_ Q�(YPGF\4CF lQG 4f tO . RE V I - SUBDISIOM SEC._Tw P- RGE. PEET OR THIS PERMIT INCLUDES: METES D BOUNDS P.B.D PAGE NO. ESVAMATED �/ p� PRINC. / �.'/� LL'E FE[ �T STREET ADDRESS OF JOE l'�O ��_�?' /-tom ACCE330 "P (� SLOO. I r� ��V,�S(�' LOT 512E x,3903 es SCR'N INCtf?..EJr.J.jl ' SURVEY ATTACHED? LOT STAKED? �/`"' �� --tt ROOF � U PRESENT USE(VACANT,OR NO.OF BUILDINGS AND USE OF EACH.) PENCE POOL PAVING -� SOAKAGE PIT J - 1 HEKCSY MAKE APPLICAT'ICN FOR PERMIT To ERECT ZI: ALTER� DEMOLISH J A Lj n REPAIR REMOVE-:1 REMODCL_ A_,-TORY RESDENTILL n COMMERCIAL TOTAL SLD'6. E E UC!FEES ROOF f'- STRUCTURE W ITN CBS 0 -A.vC J OTHER CONSTRUCTION a OCCUPANCY PERMIT FEE FOR THE FOLLOWING SPECIFIC USE AND OCCUPANCY Office Bldg. and Parkin Garage TOTAL AMOUNT DUE S CUBE 20NE REQUIRED OFFICIAL HWY.WIDTH Additional items shown an the Plans GGd C V—d by this permit: x - ��rE a DEDICATED WIDTH FENCE In PAVING-(t.SCR.ENCL,_ POOL-- SOAKAGEPa A: 1-H, ROl OF O NO.OF O NO.OF $OTEL LOT DIMENS. LOT AREA LIVING UNITS�BEDROOM3�STORC UNITS PEPMIT NO. WATER CO. DEED REST'R B RESOLUTIGN3 CHECKED Y N� AME OR H WCLL ,wrwRT I UNDERSTAND THAT SEPARATE PERMITS MUST DE OBTAINED POR THE POLLOWlN6 ITEM5. PROOF OF UNLESS SPEC1rIC-Y COVERED By THIS PERMIT:ELECTRICAL, PLUMBING,SEPTIC TANK, OWNERSHIP CHECKED BY WELL. M AT"' AIR CONDITIONING.30AKAGE PITS. BOILERS. SIGNS,ELEVATORS,FENCE, SCRCEN ENCLOSURES,WALL,PAVIWG-AND POOL AND THAT 11 3161ING THIS APPLICATION, a 1 ALL It ROxSISLE FOR THE SUPERVISION AND COMPLETION or TNC CONSTRUCTION IN VIOLATIONS n ERAL� E WITH COUNTY PLANS A, EC!f IC ATIONS AND FOR COMPLIANCE WITH ALL fED- CHECK: CHECY,ED DV DATE i 11 BL CONTR.CENT, (Sjg,L ,of CRntrattPr fQualijl-I or 0—r-Nuild-0-y) NUMBER CLASS CHECKED BY w1TN[SS tcLERK) LATE ACCEPTED: ISSUED BY: DATE: CONDITIONS UNDER WHICH APPROVED APPROVE oA.-E DISAPP \•£D DATE REASONS (ATTACH"MOLD"CARD) ZONING STRUCTURAL PLUMBING / ELECTRICPL �✓ y- �2-� MECHANICAL i '- tI Aft Aft MMI j r a ( t I , 0 APPROVED Z52 �2.d 2 --S t TRUFM DIMUc-ER M Z.1 G i Date Novi 011971 I APPRMW 7. ,, 1 5'�C2F:.5'06MGLK R WQ.3 1 C 2 .t+ 35t L'K, Ltd TO ma a _ SEE arrrWED item'= ItEm u 47 `----= AIL nn'1» so vc P+aS Lao i 1 , S:cJC-,ZS r 9%5�".'r-j13r'L.�v. e Ell C3 LU _ x � EL —U _ .�.._ _ _-.__-. _ _--. ._ _ _` _ _ —__�__ �_ _.f_- ..__ ,`!� ^' �i 0"�-.aT 4}or=E cu•-v �-.'4$swr,4.f-r, -/gswT•e.� r.. 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UIL DING tr2"cl-O" '/�1 WEST WALL g'6 EN6IN EERS aT,.d. • ..Kn .� .A_o•o vrH . 2t4_ WALL SEGT10N7 IS 410 2 S ��100u � OS9 I m �-7 r O D = 2-l0' 8 �. 2:i'C3" c3 8 rte'-O` j 24-0' � 2c'p•• .: a. *To �. _ f RooF 10 i N = i� LJ r 6 d'j I(2 SG y t.. �L j;,Y } � _ i {!`�•F�ti;P�' —,-= I� tt" � .f i � ROOF G ATE' ! ,1f1 tO� .�r-�'�tG SL�l.ay LS + La o >9 , s r3'-fo" 1 to fro,r¢=�f 2 a i f ti oil r ' t f. i d C 1�+--cam zt�i — - - i _ L n $x22z come em '� y ---1— i --- ----- -- - -- �L�5T D ! f i i i mALI !-=• P%0:) =LOO=, PLAN POD l � 1 } i RESOLUTION NO. I5-95-9564 A RESOLUTION OF THE MAYOR AND CITY.COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA GRANTING A SPECIAL PARKING PERMIT PURSUANT TO SECTION 20-4.4 (F)(2)(a) OF THE LAND DEVELOPMENT CODE TO ALLOW AN OFF-SITE PARKING LOT TO BE LOCATED ON PROPERTY IN THE RO (RESIDENTIAL OFFICE) DISTRICT, AND SPECIFICALLY LOCATED AT 7000 S.W. 62 AVENUE, SOUTH MIAMI, FL, 33143, AND PROVIDING A LEGAL DESCRIPTION. WHEREAS, HealthSouth Corporation made application for a Special Parking Permit to allow an off-site parking lot to be located on property in the RO (Residential Office) district, as provided for under Section 20-4.4 (17)(2)(a) of the Land Development Code.. WHEREAS, the property is,located at 6210 S.W. 70 Street, South Miami, Florida, 33143, and is legally described as follows: The North 115.00 feet of the East 1/z of the Southeast 1/a of the Southeast 1/4 of the Southwest p 1/ less the East 149.00 feet and the East 137.00 feet of the North 150.00 feet. of the West 1h of the Southeast 1/ of the Southeast 1/ of the Southwest 1/a, less the West 54.00 feet of the North 88.00 feet all lying and being in Section 25, Township 54 South, Range 40 East, Dade County, Florida, subject to a dedication of the North 25 feet for road purposes; and, WHEREAS, upon approval this property is considered to be part of the property located at 7000 S.W. 62 Avenue via recorded unity of title; and, WHEREAS, the Building, Zoning & Community Development Department staff recommend approval of the application upon evaluating the application for (a) consistency with the Comprehensive Plan and (b) compliance with the requirements contained in Sections 20-4.4 (F)(2)(a), 20-3.4 (B)(15) and 20-3.6 (0) of the Land Development Code; and, WHEREAS, on December 13, 1994, the Planning Board voted to recommend approval of the application (6-0) with the following conditions: (1) That every effort be made to provide irrigation and to utilize porous asphalt; (2) That the chain-link fence be erected two feet behind the property line, to include the planting of shrubbery on the outside edge of the fence; (3) That any extremely hazardous parking spaces be either re-configured or eliminated upon final approval; (4) That the chain-link fence be vinyl coated, black.in color; (5) That the said fence be limited to four feet in height; and, WHEREAS, the Mayor and City Commission accept the recommendation of the Planning Board. HealthSouth Parking Permit Resolution Page # .1 i 1 NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA: SECTION 1. The application by HealthSouth Corporation for a Special Parking Permit to allow an.off-site parking lot to be located on property in the RO (Residential Office) district, as provided for under § 20-4.4 (17)(2)(a) of the Land Development Code is hereby granted with the following conditions: (1) That every effort be made to provide irrigation and to utilize porous asphalt; (2) That the chain-link fence be erected two feet behind the property line, to include the planting of shrubbery on the outside edge of the fence; (3) That any extremely hazardous parking spaces be either re-configured or eliminated upon final approval; (4) That the chain-link fence be vinyl coated, black in color; (5) That the said fence be limited to four feet in height; (6) That the applicant record a unity of title in the public records of Dade County to join this property with the property located at.7000 S.W. 62 Avenue; and, (7) That the applicant record a signed copy of the "Declarations of Restrictions" prepared by BZCD staff(EXHIBIT A) in the public records of Dade County. (8) The hours of operation of the parking garage are 'mited to 7:00 A.M. until 9:00 P.M. The applicant shall take appropriate tion to-assure compliance with this condition. PASSED AND ADOPTED THIS 170- DAY F JAN .ARY, 1995. Neil Carver, Mayor A E T: 26s ary J. Wascur , City Clerk READ AND APPROVED AS TO FORM: Earl G. Gallop, City Attorney c:\planning\report.018 HealthSouth Parking Permit Resolution Page # 2 DECLARATION OF RESTRICTIONS KNOW ALL BY THESE PRESENTS that the undersigned,Owner(s) of the following described property (the"Property"),lying,being situated in the City of South Miami,Dade County,Florida, to-wit:. The North 115.00 feet of the East 112 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 less the east 149.00 feet and the east 137.00 feet of the North 150.00 feet of the West 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4, less the West 54.00 feet of the North 88.00 feet all lying and being in Section 25,Township 54 South,Range 40 East,Dade County,Florida,subject to a dedication of the North 25 feet for road purposes. IN ORDER TO ASSURE the City of South Miami, Florida, that the representations made to them by the Owner during consideration of a special use permit, the property will be abided by the Owner,freely,voluntarily and without duress makes the following Declaration of Restrictions covering and running with the property: (1) That said property shall be developed substantially in accordance with the spirit and intent of the plans previously submitted,prepared by Consulting Engineering and Science,INC., dated the 15 day of APRIL . 1994, said plan being on file with the City of South Miami Building and Zoning Department, and by reference made a part of this agreement. (2) The Property Owner(s) must comply with the architectural and landscaping plans offered as part of this covenant. (3) Perpetual maintenance of landscaping as shown on the landscaping plans submitted with this Declaration of Restrictions must be maintained by the Owner(s). Inspection. As further part of this agreement it is hereby understood and agreed that any official inspector of the City of South Miami Building and Zoning and Community ; Development Department, or its agents duly authorized, may have the privilege at any time to enter and inspect the use of the premises to determine whether or not the requirements of the building and zoning regulations and the conditions herein agreed to are being complied with. Covenant Running with the Land. The Declaration on the part of the Owner shall constitute a covenant running with the land and will'be recorded in the public records of Dade County, Florida and shall remain in full force and effect and be binding upon the undersigned Owner, and their heirs, successors and assigns until such time as the same is modified or released. These restrictions during their lifetime shall be for the benefit of, and limitation upon, all present and future owners of the real property and for the public welfare. Term. This Declaration is to run with the land and shall be binding on all parties and all persons claiming under it for a period of thirty (30) years from the date of this Declaration is recorded after which time it shall be extended automatically for Declaration of Restrictions Page Two successive periods of ten years each, unless an instrument signed by the majority of the, then, owner(s) of the Property has been recorded agreeing to change the covenant in whole, or in part, provided that the Declaration has first been modified or released by the City of South Miami. Modification Amendment Release. This Declaration of Restrictions may be modified, amended or released as to the land herein described, or any portion thereof, by a written instrument executed by the, then, owner or a majority of the owners of all of the Property provided that the same is also approved by the Director of the Building and Zoning Department of the City of South Miami. Should this Declaration of Restrictions be so modified, amended or released, the Director of the City-of. South Miami Building and Zoning Department, or the executive officer of the successor of such Department, or in the absence of such director or executive officer by his assistant in charge of the office in his absence, shall forthwith execute a written instrument effectuating and acknowledging such modification, amendment or release. Enforcement. Enforcement shall be by action against any parties or person violating, or attempting to violate, any covenants. The prevailing party in any action or suit, pertaining to or arising out of this declaration, shall be entitled to recover, in addition to costs and disbursements allowed by law, such sum as the Court may adjudge to be reasonable for the services of his attorney. This enforcement provision shall be in addition to any other remedies available at law or in equity or both. Authorization for Building and Zoning Department to Withhold Permits and Inspections. In the event payments or improvements are not made in accordance with the terms of this declaration, in addition to any other remedies available, the City of South Miami Building and Zoning Department is hereby authorized to withhold any further permits, and refuse to make any inspections or grant any approvals, until such time as this declaration is complied with. Election of Remedies. All rights, remedies granted herein shall be deemed to be cumulative and the exercise of any one or more shall neither be deemed to constitute an election of remedies, nor shall it preclude the party exercising the same from exercising such other additional rights, remedies or privileges. Presumption of Compliance. Where construction has occurred on the Property or any portion thereof, pursuant to a lawful permit issued by the City, and inspections made and approval of occupancy given by the City, then such construction, inspections and approval shall create a rebuttable presumption that the buildings or structures thus constructed comply with the intent and the spirit of this Declaration. DECLARATION Or RESTRICnoNs PAGE THREE Severability. Invalidation of any one of these covenants; by judgement or Court, in no way shall affect any of the other provisions which shall remain in full force and effect. Recording. This Declaration shall be filed of record in the public records of Dade County, Florida at the cost of the Owner following the approval of the Application by the Director of the City of South Miami Building and Zoning Department. IN WITNESS WHEREOF, the party agrees to abide by all terms and accepts the Declaration of Restrictions to the date and year first written above. PROPERTY OWNER Witness: 6210 S.W. 70 Street Witness: HEALTHSOUTH CORPORATION City of South Miami Director of Building and Zoning and Community Development Dean L. Mimms, AICP Q\WPW0RMr0RMSVMALTHS0.00V CITY OF SOUTH AIIAAR INTER-OFFICE MEMORANDUM DATE: June 13 , 1995 TO: David Struder/Dean Mimms, Director B & Z FROM: Gladys/City Clerk's Office SUBJECT: Resolution No. 15-95-9564 and Ordinance No. 1-93-9564 Attached please find copies of the above captioned documents for the following reasons: Res. # 15-95-9564 - Declaration of Restrictions needs to be signed. Ord. #1-93-1530A - Agreement between Habitat and City of South Miami needs to be signed. Thanks for your prompt attention. /gv �► CITY OF SOUTH MIAMI Building,-Zoning & Community Development Department 6130 Sunset Drive, 2' Floor; South Miami, Florida 33143 Phone: (305) 663-6327; Fax #: (305) 666-4591 June 30, 1995 Mr. Jeff Lane 7000 S.W. 62 Avenue Penthouse A South Miami, Florida 33143 Dear Mr. Lane: It has come to my attention that the City has not yet received a recorded unity of title for the property at 6210 S.W. 70 Street, linking the property to 7000 S.W. 62 Avenue. In addition, the recorded "Declaration of Restrictions" has not yet been received. Certified copies of these recorded documents (indicating Dade County recording number) must be submitted, in order to finalize approval of the Special Use Permit granted by the Commission. A copy of Resolution No. 15-95-9564 which approved the Special Use is enclosed. This is a serious matter that needs prompt attention. Thank you for your cooperation. Sincerely, ( Fo R ) Dean L. Mimms, AICP Director of BZCD Dept. enclosure c: Eddie Cox City Manager° -Ronetta'Taylo City Clerk c.\wpdocslP13 miogkeport.018(p.10) RESOLUTION NO. 1595-9564 A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA GRANTING A SPECIAL PARKING PERMIT PURSUANT TO SECTION 20-4.4 (F)(2)(a) OF THE LAND DEVELOPMENT CODE TO ALLOW AN OFF-SITE PARKING LOT TO BE LOCATED ON PROPERTY IN THE RO (RESIDENTIAL OFFICE) DISTRICT, AND SPECIFICALLY LOCATED AT 7000 S.W. 62 AVENUE, SOUTH MIAMI, FL, 33143, AND PROVIDING A LEGAL DESCRIPTION. WHEREAS, HealthSouth Corporation made application for a Special Parking Permit to allow an off-site parking lot to be located orr property in the RO (Residential Office) district, as provided for under Section 20-4.4 (F)(2)(a) of the Land Development Code. WHEREAS, the property is located at 6210 S.W. 70 Street, South Miami, Florida, 33143, and is legally described as follows; The North 115.00 feet of the East 1/2 of the Southeast 1/ of the Southeast 1/ of the Southwest 1/ less the East 149.00 feet and the East 137.00 feet of the North 150.00 feet of the West '/2 of the Southeast 1/ of the Southeast 1/ of the Southwest '/a, less the West 54.00 feet of the North 88.00 feet all lying and being in Section 25, Township 54 South, Range 40 East, Dade County, Florida, subject to a dedication of the North 25 feet for road purposes; and, WHEREAS, upon approval this property is considered to be part of the property located at 7000 S.W. 62 Avenue via recorded unity of title; and, WHEREAS, the Building, Zoning & Community Development Department staff recommend approval of the application upon evaluating the application for (a) consistency with the Comprehensive Plan and (b) compliance with the requirements contained in Sections 20-4.4 (F)(2)(a), 20-3.4 (B)(15) and 20-3.6 (0). of the Land Development Code; and, WHEREAS, on December 13, 1994, the Planning Board voted to recommend approval of the application (6-0) with the following conditions: (1) That every effort be made to provide irrigation and to utilize porous asphalt; (2) That the chain-link fence be erected two feet behind the property line, to include the planting of shrubbery on the outside edge of the fence; (3) That any extremely hazardous parking spaces be either re-configured or eliminated upon final approval; (4) That the chain-link fence be,vinyl coated, black in color; (5) That the said fence be limited to four feet in height; and, . J. WHEREAS, the Mayor and City Commission accept the recommendation of the Planning Board. HealthSouth Parking Permit Resolution Page # 1 NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA: SECTION 1. The application by HealthSouth Corporation for a Special Parking Permit to allow an off-site parking lot to be located on property in the RO (Residential Office) district, as provided for under § 20-4.4 (17)(2)(a) of the Land Development Code is hereby granted with the following conditions: (1) That every effort be made to provide irrigation and to utilize porous asphalt;. (2) That the chain-link fence be erected two feet behind the property line, to include the planting of shrubbery-on the outside edge of the fence; (3) That any extremely hazardous parking spaces be either re-configured or eliminated upon final approval; (4) That the chain-link fence be vinyl coated, black in color; (5) That the said fence be limited to four feet in height; (6) That the applicant record a unity of title in the public records of Dade County to join this property with the property located at 7000 S.W. 62 Avenue; and, (7) That the applicant record a signed copy of the "Declarations of Restrictions" prepared by BZCD staff(EXHIBIT A) in the public records of Dade County. (S) The hours of operation of the parking garage are 'ted to 7:00 A.M. until 9:00 P.M. The applicant shall take appropriate ction to-assure compliance with this condition. PASSED AND ADOPTED THIS 171" DAY F JAN ARY, 1995. Neil Carver, Mayor A T: os ary J. Wascur , City Clerk RE.ADD AND APPROVED AS TO FORM:, Earl G. Gallop, City Attorney c:lplanning\report.018 HealthSouth Parking Permit Resolution Page # 2 DECLARATION OF RESTRICTIONS KNOW ALL BY THESE PRESENTS that the undersigned,Owner(s) of the following described property (the"Property"), lying,being situated in the City of South Miami,Dade County,Florida, to-wit: The North 115.00 feet of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 less the east 149.00 feet and the east 137.00 feet of the North 150.00 feet of the West 1/Z of the Southeast 114 of the Southeast 114 of the Southwest 1/4, less the West 54.00 feet of the North 88.00 feet all lying and being in Section 25, Township 54 South, Range 40 East,Dade County,Florida,subject to a dedication of the North Z5 feet for road purposes. ' IN ORDER TO ASSURE the City of South Miami, Florida, that the representations made to them by the Owner during consideration of a special use permit,the property will be abided by the Owner,freely,voluntarily and without duress makes the following Declaration of Restrictions covering and running With the property: (1) That said property shall be developed substantially in accordance with the spirit and intent of the plans previously submitted,prepared by Consulting Engineering and Science,INC., dated the 15 day of APRIL . 1924, said plan being on file with the City of South Miami Building and Zoning Department,and by reference made a part of this agreement. (2) The Property Owner(s) must comply with the architectural and landscaping plans offered as part of this covenant. (3) Perpetual maintenance of landscaping as shown on the Iandscaping plans submitted with this Declaration of Restrictions must be maintained by the Owner(s). Inspection. As further part of this agreement it is hereby understood and agreed that any official inspector of the City of South Miami Building and Zoning and Community Development Department, or its agents duly authorized, may have the privilege at any time to enter and inspect the use of the premises to determine whether or not the requirements of the building and zoning regulations and the conditions herein agreed to are being complied with. Covenant Running with the Land. The Declaration on the part of the Owner shall constitute a covenant running with the-land and will be recorded in the public records of Dade County, Florida and shall remain in full force and effect and be binding upon the undersigned Owner, and their heirs, successors and assigns until such time as the same is modified or released. These restrictions during their lifetime shall be for the benefit of, and limitation upon, all present and future owners of the real property and for the public welfare. Term. This Declaration is to run with the land and shall be binding on all parties and all persons claiming under it for a period of thirty (30) years from the date of this Declaration is recorded after which time it shall be extended automatically for Declaration of Restrictions Page Two successive periods of ten years each, unless an instrument signed by the majority of the, then, owner(s) of the Property has been recorded agreeing to change the covenant in whole, or in part, provided that the Declaration has first been modified or released by the City of South Miami. Modification Amendment, Release. This Declaration of Restrictions may be modified, amended or released as to the land herein described, or any portion thereof, by a written instrument executed by the, then, owner or a majority of the owners of all of the Property provided that the same is also approved by the Director of the Building and Zoning Department of the City of South Miami. Should this Declaration of Restrictions be so modified, amended or released, the Director of the City of South Miami Building and Zoning Department, or the executive officer of the successor of such Department, or in the absence of such director or executive officer by his assistant in charge of the office in his absence, shall forthwith execute a written instrument effectuating and acknowledging such modification, amendment or.release. Enforcement. Enforcement shall be by action against any parties or person violating, or attempting to violate, any covenants. The prevailing party in any action or suit, pertaining to or arising out of this declaration, shall be entitled to recover, in addition to costs and disbursements allowed by law, such sum as the Court may adjudge to be reasonable for the services of his attorney. This enforcement provision shall be in addition to any other remedies available at law or in equity or both. Authorization for Building,and Zoning DeRartment to Withhold Permits and Inspections. In the event payments or improvements are not made in accordance with the terms of this declaration, in addition to any other remedies available, the City of South Miami Building and Zoning Department is hereby authorized to withhold any further permits, and refuse to make any inspections or grant any approvals, until such time as this declaration is complied with. Election of Remedies. All rights, remedies granted herein shall be deemed to be cumulative and the exercise of any one or more shall neither be deemed to constitute an election of remedies, nor shall it preclude the party exercising the same from exercising such other additional rights, remedies or privileges. Presumption of Compliance. Where construction has occurred on the Property or any portion thereof, pursuant to a lawful permit issued by the City, and inspections made and approval of occupancy given by the City, then such construction, inspections and approval shall create a rebuttable presumption that the buildings or structures thus constructed comply with the intent and the spirit of this Declaration. DECLARATION OF REsTRIC'TIONS PAGE THREE. Severability. Invalidation of any one of these covenants, by judgement or Court, in no . way shall affect any of the other provisions which shall remain in full force and effect. Recording. This Declaration shall be filed of record in the public records of Dade County, Florida at the cost of the Owner following the approval of the.Application by the Director of the City of South Miami Building and Zoning Department. IN WITNESS WHEREOF, the party agrees to abide by all terms and accepts the Declaration of Restrictions to the date and year first written above. PROPERTY OWNER Witness: 6210 S.W. 70 Street Witness: HEALTHSOUTH CORPORATION City of South Miami Director of Building and Zoning and Community Development . Dean L. Minims, AICP C:\WPWORKVORMSV3EALTHSO-COV ,I I ��---- i -- _A A A VA' UV O.l b AL 1IlIlt ni.ia, OCCUPATIONAL LICENSE APPLICA71�`c�N � f r F , . 6130 Sunset Drive, South Miami,FL 33143 - Phone: (305) 663-6343 *Fax 305-663-•6346 Finance Department i Check one: ❑ NEW BUSINESS {� E:XISTING BUSINESS LI HOME BUSINESS O CHANGE OF ADDRESS✓�0 CHANGE OF NAME Please Print NAME OF BUSINESS ` BUSINES§ OR APPLICANT NAME: :3C o �+� t' `� � �` �'° PHONE: - BUSINESS ADDRESS: -°a ��?.= �• __ _ � MAILING ADDRESS: NAME OF OWNERS (PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE: IN THE CITY OF SOUTH MIAMI: Tax ID#: lc - d��-i ,� � S.S.#: _D.L.#: Emergency Contact Person: i?��1Z.'s .�' - ` c S PHONE: F. PROPERTY OWNER: e �'Q�� = ` '��-� PHONE: *xxxxxxrtxxrtxxxxxxxzxxxrtxxxxxxxxrtxxxxzrtxxxrrxxxxxxzxxxxxxxrtxrxxxxxxxxzxxxxxxxxxxxxxxxxxxxxxxz,xxxxxzxxxxxx+:zrtxzzxrtxxxxxxxxxxzxr.xzxxxxzrzxxxx*xxz*xxxzxxx<xz FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT (S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS:�i i GROSS FLOOR AREA OF BUSINESS FACILITY: Z '' �� ---�� SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COV ENPNT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: U YES 110 (IF YES, SUBMIT COPY OF CONTRACT.) 'i�/ WILL THIS BUSINESS: / JOIN AN EXISTING OFFICE: Name of office: ® YES Cam/N0 9 BE A PROFESSIONAL ASSOCIATION: �U S ® NO d REQUIRE STATE LICENSING;._(IF...YES,-.P--RQVIDE PROOF) l YES 3 N0 BE LICENSING FEE EXEMPT(IF YES, PROVIDE PROOF) ® YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license I ach year. I swear that all the alcove information is true and correct. SIGNED - — TITLE �rZr�`a C> DATE `S c ;:G 14- ;8��f=E35E 0�9LN s 1TE[if�S FEES z �,� E�� LICENSE 23 1. S3 USE: '��.L �� — CLASSIFICATION: C.U. USE APPROVED BY: ;�_��____ DATE: ?N�_ TF?ANSI=ER LICENSE NO: �� YEAR: PENALLY ® : TOTAL �� ISSUE DATE: ___.__ -- Y CITY OF SOUTH MIAMI � i'V � <^ OCCUPATIONAL LICENSE APPLICATI N !Uh i 5 6130 Sunset.Drive, South Miami, FL 33143 pEP� ea Phone: (305)663-6343 'i{1 FINANCE Finance Department Check one: �p NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print BUSINESS NAME OF BUSINESS x OR APPLICANT NAME: AL ' �� / PHONE: _ BUSINESS ADDRESS: � Ct "'" ' p 6��1 r MAILING r '? ADDRESS: NAME OF OWNERS P/ROPRIETOR, PART14ERS OR CORPORATE OFFICERS) J �f v p •I aDATE BUSINESS WILL COMMEN E IN THE CITY OE SOUTH iMllMI: �% l're�i� �' 4 Tar. ID#:�r� ' rif;:✓/ �-%-'{— S.S.#: D.L.#: /--- `/t�Sl PHONE: r��'`• % `• 7 Is' Emergency Contact Person: _ i / / — c� .'d 'j L/? �/��CI�1�!i�4F/✓ PHONE: � C1 - r �� PROPERTY OWNER: /��7�� e/�/�6U/ _ ' _//)�^/L• �l ��"/�1�� f'*******R*****R*NR��x�*'*��^^•��+•}*'x****�'l+rx*'R��R****aKa**�Z*tk'6***A1v**f***fK**9kf*** * *f*************+****k4****k**t*1**********f FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: . r PRODUCT (S)TO BE SOLD: i�Q / SERVICE (S)TO BE PERFORMED: f�l �' P')�"� �� Azz MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: -•dA- AT C� SQUARE FE NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: f - DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SI'i c REQUIRED PARKING FOR THIS USE: 0 YES-6 NO (IF YES, SUBMIT COPY OF CONTRACT.) Y !L WILL THIS BUSINESS: �.. ® YES NO v JOIN AN EXISTING OFFICE: Name of office: ® YES 5K NO v BE A PROFESSIONAL ASSOCIATION: ® YES ®. NO v REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) v BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ® YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation service All occupational Lice/es-exioiired can September 301' of each year and all merchants are responsible for renewing there license eaclte yearl�Mr�'ar thy' i�the above information Jtrue and correct. r TITLE SIGNE �,��ze i � 1�✓ � i2 DATE Gt�i f,.� 0 , D/� n2- f' ....r � ,-�<- _ ^^ -k+ � y •,k -tFa S ,,� y� L�,,P �'f �„�;�=V� � ?,.1�a,� �.�::'- �� f,-a�v •rw',� 1� f, �� +t¢c..r .Y.�k:� ( t , �'•f�'.s c�*," .w:�"C�. ? LICENSE f ~•' USE: �' �� C.U. Q, c CLASSIFICATION: —. DATE TRANSFER :., USE APPROVED BY: �_� / d PENALTY LICENSE NO: - _ -- - YEAR:r y TOTAL w _c' BY: ISSUE DATE: - _ CRY of South Miami BUILDING & ZONING APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13 , Article-1 , Section 13-1 , Ordinances of the City of of the Code of South Miami , I hereby make application j for an Occupational License. I understand that this form must be completed and returned before a license my be issued. r S 5) NAME OF PERSON WHO WILL PERSON(S) REAL NAME OF PERSON MANAGE, CONTROL OR DIRECT THE �i BUSINESS TO BE TRANSACTED IN `7"^ j4 ! *- ` TH� CITY OF SOUTH MIAMI: HOME ADDRESS p CI•�TY, STATE, -Z-j- '-5, P TTELEPHONE 'NUMBER 6 ) NATURE OF BUSINESS FICTITIOUS NAME OF PERSON , , FIRM OF CORPORATION (IF ONE IS USED) TYPE OF MERCHANDISE HANDLED, 3 OR SERVICE RENDERED LOCATION OF BUSINESS (SEPARATE LICENSE REQUIRED FOR EACH 7) LOCATION DATE WHEN BUSINESS WILL COMMENCE (IN CASE OF PARENT TELEPHONE- NUMBER _ FIRM LOCATED OUTSIDE THE CITY OF SOUTH MIAMI, STATE THE DATE WHEN BUSINESS COVERED BY SOUTH J 7 r'; 3 ) � ;� �. � �?�Viz' � �,.i��,� . MIAMI LICENSE WILL BE NAME OF OWNER OF BUILDING IN COMMENCED) WHICH THE BUSINESS IS LOCATED 8 ) CF MERCHANT, VALUE OF STOCK ARRIED (DEFINED AS COST VALUE 4 ) IF A FIRM, NAMES OF MEMBERS OF OF STOCK ON HAND AT CLOSE OF LICENSEE FIRM, AND IF A CORPORATION S FISCAL YEAR PRECEDING LICENSE NAME OF OFFICERS OF CORPORATION PERIOD; IF NOT IN BUSINESS ONE YEAR, VALUE AS OF COMMENCEMENT OF BUSINESS) 9) GROSS FLOOR AREA OF BUSINESS NUMBER OF PARKING FOR BUSINESS I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. (LICENSES OBTAINED ON A MISREPRESENTATION OF MATERIAL FACT ARE NULL AND VOID) . SIGNED — AS DATE — TITLE OR EXPLANATION OF CONNECTION WITH OWNER 'r LIE �Zf, a LNY� IN MIAMI E 7 � -. )SINESS TAX RECEIPT M� �v Sunset Drive, South Miami, FL 33143 LIN ts� � D Phone: (306)663-6343 * Fax 306-663-6346 T. .Oc'partment c� Check one. NEW BUSINESS ❑ G EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF f�ME Please Print CORPORATION NAME n c; OR APPLICANT NAME: aY� Y l LF.�/ 1 nc' BUSINESS .PHONE: DBA: BUSINESS ADDRESS: �� •�- � �I� Fri MAILING c, ADDRESS: G ► NAME OF OW14ERS (PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) rr r-: DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: 7 0 (Gl `l Tax ID#: D.L.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: r \ GROSS FLOOR AREA OF BUSINESS FACILITY: G f ^ n SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: j V DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: JOIN AN EXISTING OFFICE: Name of office: BE A PROFESSIONAL ASSOCIATION: El YES ❑ NO REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ❑ YES ❑ NO BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO ❑ YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Local Business Tax Receipt expire on September 301h of each year. All merchants are responsible for renewing Their license eah year. The G'ity Of South Miami is not required to provide renewal notification. SIGNED TITLE 1N(Ci i�Ci'. Ll, � J! DATE c OFFfCIAL US E ON nn ITEMS "r _ 35 : x FEESg USE: TDDD M0.9 p cd : t71�1v,PA4 vn si CLASSIFICATION: 09 LICENSE, C.U. USE APPROVED BY: Maae° DATE: V°i 10 TRANSFER LICENSE NO: YEAR: E PENALTY ISSUE DATE: BY: TOTAL sf j: CITY OF SOUTH MIAN111 �. .>,•: OCCUPATIONAL LICENSE APPLICATION , 1 6130 Sunset Drive, South Miami, FL 33143 Phone:(305)663-6343 Finance ®e aliment Check one: A NEW BUSINESS Q EXISTING BUSINESS U HOME BUSINESS U CHANGE OF ADDRESS U CHANGE OF NAME Please Print NAME OF BUSINESS BUSINESS, OR APPLICANT NAME °�Q -- PHONE: 3,__:Q -27S � BUSINESS ADDRESS: �- ADD ESS: (gS91 3 ir\ 6 @ C= L=a U_P`f°'d.L�C �33j 7� - NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OE SOUTH MIAMI: ALL6j`LL�5-;'-'C 0:1 -- Tax ID#: � S.S.#:.,5 y ��" t D.L. #: -7�L 65 `�I 1 2 0 Emergency Contact Person:^,U��".� d" �C IS�s PHONE: ,_ '� � � �0q � PROPERTY OWNER: PHONE: A*#•'#***##*fi*#**#k**##****AA##**k*X#*:Y*k*#*#****4*#*#*k##AA#A**AA*A##k#Ak*##hkA*A#fi#f*##k*k#*#*****A:Y**#*4***Ak*##*#*###RkA**#A**###**#Alr#ktlrA***k**A*k4* FOR TRANSFER LIST PREVIOUS VALID LICENSE NO:_ PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: III��] GROSS FLOOR AREA OF BUSINESS FACILITY: _ � 'C, . SQUARE t=EET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: G] YES �d NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: v JOIN AN EXISTING OFFICE: blame of 1jer-'Y" �.YES ® NO a BE A PROFESSIONAL ASSOCIATION: ® YES ;A NO REQUIRE.STATE LICENSING: (IF YES, PROVIDE PROOF) sW YES L3 NO s BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) CJ YES NO Note: Restaurants, bars or night clubs.attach health certificate and liquor license. All applicants must provide proof of sanitation service,, . All.C) r ,upa-tionkl Licenses expired on September 30'' of each year and all merchants are responsible for renewing there 1111_ se eac year. I swear that all the above information is true and correct. � SIGNED TITLE a� �- I' - �'Y '�DATE -r �., `�}^:r••� a} +si' '�� i...,t��S1td�;.:>"L.cjL».€k.:ry�.,a ,`�A"K:r xn�,? -• t�� z i^x ,''t�''t,,. ::�v USE: ; d_� �� 1� .d>! � � r !I`LL mil? a_ _LICENSE 7 CLASSIFICATION: C% C.U. USE APPROVED BY: _ _ _ DATE: �� _TRANSFER LICENSE NO d :� YEAR: PENALTY -- l„ ,F�,,tJATE: i J a BY: ':=' TOTAL 7 S' . CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: AAA AUTO CLUB SOUTH, INC. PHONE: (305) 681-6131 ADDRESS:7000 SW p6 2nd AVE. , SO: MIAMI, FL 33143 DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI AS OF 01/02/98 TAX ID #: 59-0475480 S.S. #: D.L. #: NAME OF P R�gARXTpUWOR'CORPORATE OFFICERS: See list attached. EMERGENCY CONTACT PERSON: MS. LEE STONE ADDRESS: BOX 97 HOLLYWOOD FL 33022 PHONE: (954) 920-2129 PROPERTYOWNER :ONE 'SEVEN THOUSAND PLACE I rHONE: (205) 967-7116 R TRANSFER LIST PREVIOUS VALID LICENSE NO. 1224 & 12 2 5 1 PRODUCT(S) TO BE SOLD: N/A see Services below SERVICE(S) TO BE RENDERED: MEMBER SERVICE05TRAVEL AGENCY/INSURANCE RE FEET GENCS GROSS FLOOR AREA OF BUSINESS FACILITY: 2 5 NUMBER OF PARKING SPACES EXCLUSIVELY FOR AND MANAGERS: 11 NUMBER OF EMPLOYEES INCLUDIN G OWNERS WILL THIS BUSINESS: YES NO-x ___ BE A PROFESSIONAL ASSOCIATION NO JOIN AN EXISTING OFFICE (IF YES, PROVIDE PROOF) YES YES NO X HAVE DOOR TO DOOR SERVICE YES NO X OPERATE FROM A HOME NO X REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES BE LICENSING FEE EXEMPT (IF YES, PROVIDE PROOF) YES N0= RESTAURANT, BAR OR NIGHT CLUB ATTACH T CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF O + I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. AAA AUTO CLUB SOUTH, INC. DATE 12 9 7 SIGNED BM:-. �-- ��r--T�'E EXEC. v.P. �-L THOMAS E. O'BRIEN FEES OFFICIAL USE ONLY USE ,-rte... �.,.• �'. ,� ��.,r.�.� CI TENSE CLASSIFICATION: USE APPROVED BY: fh DATE: TRANSFER YEAR: PENALTY ACCOUNT NO.: �a9 _ TOTAL ISSUE DATE: BY: Ae 15.5 Miami' 1 — 191 8— 0 Sunset Drive, South Miami, Florida 33143 PLICATION FOR OCCUPATIONAL LICENSE ;hapter 13, Article 1 , Section 13-1 , of the Code of I of South Kiami , ''I hereby make application for -an I understand that this form must be completed and ense may be issued. aeral Manager y) Name of person or persons who will �` --_——�`--- - manage, control or direct the _ � —. �•: NAME CORRECTION) business to be transacted in the 4300 .Biscayne Blvd. Miami, 33137 City Of South Miami : Home address Zip Mr. George Petrie, Regional Operations 573-56114:. - Telephone number N/A Automobile Club �) 6) _ Insurance, Travel & Tag_ Agency Fictitious name of person, firm Nature of business of corporation (if one is used) 7000 SW 62 Ave S Mia 33143 None Type of merchandise handled, or Location of business separate license required for each location) Automobile Club 661-6131 Service rendered Telephone number 7) Renewal of existing license ISIPI PROPERTIES N.V. Date when businPSC will 3) c/o Orion Inv. & Mgmt Ltd Corp Name of owner of building in which business is located. 4) If a firm, names of members of firm, g) If and if a corporation, names of officers of corporation: James Creal, President Robert Anderson, Secretary Ralph Wigger, Treasurer I hereby certify that the above informa$ of qty knowledge and belief. (Licenses obtaine- a mibrepresentation of mater1?al fact are null and void. ) Signed September 26, 1988 DANIEL RICE, Staff Dire for Date As Administrative Services itle or explanation of confiecBen, v business. GTZBOO-Z REV.8-27-aZ CRU of South Miami 19 � =P1987 6130 Sunset Drive, South Miami. Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the. Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) W. B. WELLONS, JR. , General Manager 5.) Name of person or persons Who will Real name of person manage, control or direct the AAA, East Florida business to be transacted in the 4300 Biscayne Blvd. Miami 33137 City of South Miami : Home address Zip Mr. Donald Becker, Dist. Mgr. 573-5611 2 Telephone number Auto Club 2) AAA, EAST FLORIDA 6) Insurance,. Travel. & Tag Agency Fictitious name of person, firm Nature of business of corporation (if one is used) None 7000 SW 62 Ave. S.Mia. 33143 Type of merchandise handled., or Location of business separate Auto Club license required for each location) 661-6131 Service" rendered ' Telephone number 7) Renewal of existing license ISIPI Properties N.V. Date when business will commence 3) c/o Orion Inv. ' & Mgmt. Ltd. Corp. (In case of a parent firm located Name of -owner of building in which outside the City of South Miami , business is located. state the date when business ! CCV°ra.� k,, CoUtk U4 1 d Wy .wu „ ii,awt License will be commenced. ) 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of - (defined as cost value of stock on officers of corporation: hand at close of licensee 's fiscal year preceding license period; if James Creal, President not in business one year, value as of commencement of business) : p Robert Anderson, Secretary s n/a Arthur Cooper, Treasurer I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed �X i. DANIEL RICE, Staff Direc.<or Date 9/29/86 As Administrative Service Title or explanation of connection with business . 8Z100-2 REV. 8-27-82 City of South Miami BUILDING & ZONING J/ • ' APPLICATION FOR OCCUPATIONAL LICENSE As mequired by Chapter 13 , Article 1 , Section 13-1 , of the Code of nances of the City of South Miami , I hereby make application ; for an Occupational License. I understand that this form must be completed and returned before a license my be issued. 5) NAME OF PERSON(S) WHO WILL MANAGE, CONTROL OR DIRECT THE READ NAME OF PERSON BUSINESS TO BE TRANSACTED IN I3lPLS -Su) r14- C u-ct' THE CITY OF SOUTH MIAMI: HOME ADDRESS 1�10tiCJCL- 3, CITY, STATE, ZIP I C) TELEPHONE NUMBER 6 ) NATURE OF BUSINESSv FICTITIOUS NAME OF PERSON, IF TYPE OF MERCHANDISE HANDLED, OF.CORPORATION (IF ONE IS USED) -� �IUOG�w laz`ALA S�u,�c., 10p � LOCATION OF BUSINESS (SEPARATE OR SERVICE RENDERE_ LICENSE REQUIRED FOR EACH 7) J L.L. 4. LOCATION DATE Q WHEN BUSINESS WILL q- COMMENCE (IN CASE OF PARENT TELEPHONE NUMBER FIRM LOCATED OUTSIDE THE CITY OF SOUTH MIAMI, STATE THE DATE WHEN BUSINESS COVERED BY SOUTH 3 ) ZL to nG C )nc7of-r,� cn- MIAMI LICENSE WILL BE NAME OF OWNER, OF BUILDING IN COMMENCED) WHICH THE BUSINESS IS LOCATED 8 ) IF MERCHANT, VALUE OF STOCK CARRIED (DEFINED AS COST VALUE - - - - --- OF STOCK ON HAND AT CLOSE OF RS OF LICENSEE'S FISCAL YEAR t`�f lie' rUG TION, PRECEDING LICENSE PERIOD; IF ATION NOT IN BUSINESS ONE YEAR, VALUE J AS OF COMMENCEMENT OF BUSINESS) <LoR�E M. �ABxER�, M.�?. DIPLOMATS,AYMRICAN BOARD OF ORTHOPAEDIC SURGERY $ 9) 01G4 � JOINT REPLACEMENT ONE SEVEN THOUSAND PLACE GROSS FLOOR AREA OF BUSINESS GENERAL ORTHOPAEDICS 7000 S. W. 62 AVENUE LASER ARTHROSCOPY SUITE 100 HAND/FOOT SURGERY SOUTH MIAMI,FLORIDA 33143 NUMBER OF PARKING FOR BUSINESS SPORTS MEDICINE (305)667-2242 PEDIATRICS FAX: (305)663-44-42 ABOVE INFORMATION- IS TRUE AND CORRECT, 1'U THIS BEST- OF MY KNOWLEDGE AND BELIEF. (LICENSES OBTAINED ON A MISREPRESENTATION OF MATERIAL FACT ARE NULL AND VOID) . SIGNED ' G,„�G, t.' AS DATE. da- 1 f. �- TITLE OR: EXPLANATION-ATION OF' CONNECTION WITH OWNER ® C2TY OF SOUTH 1"i2AM2 y�� APPLICATION FOR OCCUPATIONAL LICE?ISE PLEASE 1=1 R2NT V/� As required by Ordinance N 18-80-1077 of the City of South Miami, I her by �/� make application for an Occupational License. 1 understand that this orm must be completed and returned with copies of proof of sanitation serv' es. I also understand that first time occupants of any premises will be req ired to complete a Certificate of Use Inspection Form with the B & Z Departm NAME OF BUSINESS: Or4:1,y �s f' C--�:�' j✓1 L yz� ACCOUNT: # STREET ADDRESS OF BUSINESS: CLASS IFICATIO14 # s< �J 4k/ YEAR: 1 9 9 4/9 5 AxoUNT South Miami, Florida C/U FE 575. TRANSFER, Separate licenses are required for each business location in the City. PENALTY }: Amuwr $.,./ 2_ BUSINESS PHONE: (-1;61 - f /'� >USE:: A11- PRODUCT(S) TO BE SOLD OR NAME OF PERSON WHO WILL MANAGE, SERVICE(S) TO BE RENDERED: CONTROL OR DIRECT THE BUSINESS: oeq �--- NI AME OF OWNER OF BUSINESS: STREET ADDRESS OF ABOVE PERSON: 4 CITY, STATE, ZIP CODE: DATE BUSINESS WILL/DID COMMENCE: ' _��° - 75 HOME '1'L3�:�r,>,7I;:�oP ABOVE PERSON PROPRIETORSHIP, NAME OF PROPRIETOR — — IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PROP,1RTY OWNER: IF CORPORATION, NAMES OF OFFICERS: fb ^` f+`"'� t:�? PHONE OF 't�R(). ERTY OWNER: FOR ALL BUSINESSES: FOR RESTAUP-'yr r;1BAR/NIGHT CLUB ONLY: SWILL THIS BUSINESS. . . YESINO NUMBER OF SFj.'iTS PROVIDED: BE A PROFESSIONAL ASSOC.? HEALTH CERTIY'ICATE ATTACHED? p JOIN AN EXISTING OFFICE? WILL LIQUOR BE SERVED?* HAVE DOOR-TO--DOOR SERVICE? ` *If liquor is served, attach license lk OPERATE FROM A HOME? I FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE. STATE LICENSING?* I / I VALUE OF STOCK CARRIED IN DOLLARS• v REQUIRE LICENSE TRANSFER?* ii- ;Mflar u me wl,u er Meet eo y!W 1c elwf•et llcwr••ri.ei rrr BE LICENSING FEE EXEMPT?* P.-dLao uow.n rio «,.�, ie nee la wat ar or maarearec at bu" s , ` If Yes, provide documented proof FOR TRANSFERS, LIST THE PREVIOUS: 11GROSS FLOOR AREA OF BUSINESS NAMz: ( _ BUSINESS FACILITY: !(JL,i Io- � `3 NUMBER OF PARKING SPACES (OWNERS; EXCLUSIVELY FOR THIS USE: 14UMBER OF EMPLOYEES: ADDRESS: i OFDTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A MiSREPR-ESENTATION OF M&T IAL FACT ARE NULL AND VOID. SIGNED; � � -i ,�,�i ^TITLE: iC7 DATE: W, ARE, CRU of Sourn . 1 a mi 19 8,W 6130 Sunset Drive, South Warni, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that°this form must be completed an4 returned before a license may be issued. 1 ) t CA MO 5) Name of person or persons who will Peal name of persodl manage, control or direct the � business to be transacted in the SCA�LQ�A,„ �j?:�P l L City of South Miami : .Home address 4ip � Telephone number on firm N ture of business Fictitious name o pe s , of corporation (if one is used) 2�, Type of mereaandise handled, or loc�tion of business separate �6fr license required for each location) cu—P��/� � Service rendered Tele hone number 7) Date when business will commence 3) AUAV04 4� Ca,-[ (In case of a parent firm located Gamel-of own—erW_bulildingin which outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, g) If merchant, value of stock carried and if a cor names of (defined as cost value of stock on f officers corporation: hand at close of licensee's •e-iscal year preceding license periodfl if not in business one year. le :ffi c:::: of commencement of bu s I hereby certify that the above information is true and correct, to.-the best of my knowledge and belief. (Licenses obtain is rese at" r fact are null and void. ) Signed Date As k Vtn/e or explanation of con�ctlon wlMU business. RZ:EOO—g Eve a—Z?—GZ OCCUPATIONAL (LICENSE APPlLICATION ---°---`, 6130 Sunset Drive, South Miami,FL 33f A Phone: (305) 663-6343 *Fax 305-663 6 �• Finance - =Department ju'j p s-t°+ I- iN, ' uk U 1U4S�1 1 Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS hhAICE OFADDPE•SS�❑ CHANGE OF NAME Please Print NAME OF BUSINESS ?, ) BUSINESS OR APPLICANT NAME: . i�r�'�;L�i9 Y" 03'r) ;:�11Z L2 (;=t' i"n tom' PHONE: 3o- - 7 BUSINESS ADDRESS: — —!?� � �= MAILING ADDRESS: �� :� UV7—I i 6 ��[y��:i~ y tl��+ �b+,u � P'" NAME Of=OWNERS (PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) ly DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: 1 �� " L✓ Tax ID#: —_— S.S. #: 7" t'U A _—D.L. Emergency Contact Person: 11�:Q- x'-v-_ti Ls tp! L-i . PHONE: PROPERTY OWNER: _ PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO:_ A/ /A PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: �� i;Gtr!1�G— MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MA�NAGERS:7 GROSS FLOOR AREA OF BUSINESS FACILITY: d'o _ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 2 o -_ m DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR,LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: Ea YES NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ice:;r ��A� `�` YES ® NO Y BE A PROFESSIONAL ASSOCIATION: YES ® NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) , j' YES ® NO A BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ® YES ,�< NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license each year. I swear that all-the abode information is true and correct. - SIGNED � � _ DATE � 'US .,0 ' r LrEn�s USE. �� ° ' /� �. LICENSE CLASSIFICATION: o® _ _ C.U. ` USE APPROVED BY: �° DATE: 3 TRANSFER LICENSE NO: C9 ( 1 _ YEARN © Y�W PENALTY � JM 11CI IC 1-IATG /_.-_ -.-F) \ RV• TOTAI - RECEIVED - CITY OF SOUTH MIAMI NOV 0 5 LOCAL BUSINESS TAX RECEIPT 6130 Sunset Drive, South Miami FL 33143 FINANCE Phone: (305)663-6343 *Fax 305-663-6346 Jo t Ance Department �-•`�`�.:�` ;heck one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS El CHANGE OF ADDRESS El CHANGE OF NAME Please Print BUSINESS CORPORATION NAME ` , �U Ai . � 5 OR APPLICANT NAME. 6 � h0�- tl C � cS �h� PHONE: BUSINESS ADDRESS: ?OK20 15'W 69 67LJ I t MAILING ADDRESS: <2- NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFI.CERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: S.S.#: D.L.#: PROPERTY OWNER: � 4� 1 �`�� L PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: ` - �C ti 'CQ SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: 91000 SQUARE FEET_ NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS E: m DO YOU CURRENTLY HAVE A COVE^N�gNT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED lU' PARKING FOR THIS USE: ❑ YES NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ❑ YES ❑ NO ❑ YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES ❑ NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Local Business Tax Rgg¢�t exp on S •tember 3o`h of each year. All merchants are responsible for renewing Their license each year he i outt Miami is not required to providelren�wal notification. / r / TITLE � / f C�✓ �'S� DATE 1 SIGNED f f ITEMS' FEES rr OFFICIAL USE ONLY USE: ®bjD v Av.S C KA fd4ld `t LICENSE CLASSIFICATION: OS C.U. USE APPROVED BY: VJL- DATE: 0I �s 0� TRANSFER 0 `r �� PENALTY LICENSE NO: T YEAR: �`== �y TO SSUE DATE: ( -r AI I I CITY OF SOUTH MIAMI LOCAL BUSINESS TAX RECEIPT 6130 Sunset Drive, South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 Finance Department Check one: ❑,NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS El CHANGE OF NAME ° BUSINESS Please Print 1 ON NAME PHONE: OR APPLICANT NAME: o" BUSINESS ADDRESS: ,.Z j--: MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: D.L.#: Tax ID#: S.S.#: - r i PHONE: PROPERTY OWNER: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: SQUARE FEET GROSS FLOOR AREA OF BUSINESS FACILITY: { `' 0 NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT,YES, SUBMIT LONG OF LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (I WILL THIS BUSINESS: Es ❑ NO i��;; �a�r��-�� ➢ JOIN AN EXISTING OFFICE: Name of office: ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: Q//YES ❑ NO' ➢ REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ❑ YES ❑ NO ➢ BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) applicants must provide proof of sanitation services. Note: Restaurants, bars or night clubs attach health certificate and liquor license. All app All Local Business Tax Receipt expire on September n30`�eof`each year. .All renewal notification.nsible for renewing merchants are r Their license ' ach year. The City Of South Miami is q ' f TITLE Cw l✓E,��- DATE SIGNED �� /� C✓� LICENSE USE: ®D`� C.U. CLASSIFICATION: O 3 'Z � l D 0 TRANSFER USE APPROVED BY: I�v� DATE: PENALTY YEAR: LICENSE NO: TOTAL BY: �`�" ISSUE DATE: / �- - -- - f �._ I_ _ _ --- ---�- - - - 1 I _., . _.. l.. .. � J awl/ �: l v ' So,l1,Mlx,,1 CITY OF SOUTH MIAMI F I d a : � - - r1 IlU•AIuc16g Cte OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343 ',.'Q Zoo Finance Department Check one: ❑ NEW BUSINESS A. EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print 99 NAME OF BUSINESSt y� fh '7r�7 �� •�U '��L>� d"7l BPHONE S �'�,- OR APPLICANT NAME:_ Fictitious Name/DSA: N E OF OWNE55(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: �1JC� _'2 i':-� l�f 2, 2-4) — MAILING ADDRESS: _S' — Tax ID#:1%' 7 S ��: S.S.#: D.L.#: DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI` PROPERTY OWNER: _PHONE:_ FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: /��✓l= r PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: /_'x MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: � :) SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: (J YES N_O (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office: AYES ® NO • BE A PROFESSIONAL ASSOCIATION: OYES ® NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) L-1---YES ® NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ® YES J4 NO �J 1� FOR RESTAURANT, BAR, NIGHT CLUES: Health certificate attached? L-1 YES ,6NO Will Liquor be served? ® YES NO NUMBER OF OUTDOOR SEATIINGS: i swear that all the above information is true and correct. � A-) SIGNED . 'Crct�' .a TITLE DATE. '- &,T- � 4 t k.iy �;„r 1 L y 7 wf� -w'�, �.,•5�1 � ) �u�?; �s c y'�.: �0�' _�,-S�`1iS.'31s'b'jt:' s 7 SSG T"3'd�«,,E�j:,xr'`:€,. �� ....�#.."�rsY»sa"k$°•16 03',��.5.:�d� :�.es�:�: �''-d n,.- - 1: :5•,,tt,, -;�°t tt S �'' � ,.a��! S��bt��.r1`..`r r'�u t,:s-.ikc,....a, -.,s...�r.'..... ,m,�. .. ,tu.✓.. . ., USE: �i_� LICENSE___ % CLAS IFICATI_O_N_: � C.U. USE APPROVED BY:. ��— DATE: ID 0'. TRANSFER _— LICENSE NO: ) ' YEARN PENALTY _ -W! - i- .:✓ I OUTDOOR SEATING ISSUE DATE: / _;/ ( BY: L __ TOTAL ✓ �': �=' 6130 Sunset Dmre. South Miami. Aorida 33143 f ` .4�•f,k i 1 �.. APPLICATION FOR OCCUPATIONAL LICENSE ��, ►f��y s equi red by Chapter 13, Article 1 s of the Cit Section 13-1 , of the de ofd " '% <y.rr City' of South Miami I hereby make application i .u; �.� mai License. I understand that this form must cation n � ; before a license may be issued, t be completed . f name o person 5) Name of person or persons who will f manage, control or direct the business to be transacted in W a City of South Miami : the �o��fiz,� ;1�eanone numner G 4�N � � fictitious name of person, . -ice 6) G� C�lC OF 1` of corporation (if one ;s used) "la ture or business 7000 5W 6 Z 40'4V C 9'-300 _o(_ation or ustness ( separate Ype o merchandise r—an alea—, o r t license required for eacn location) 4�5 (o 9,2/, Service rendered [� e i epnore numner U Date wnen cuslness i n case of o rn ' ,ce ^me c' _•,vner of but iaina ; n— W�:, '_r�►�t �'rm ' ocatea _ustness is iocatea. Dutside me st3i:e rc =outn '"ami , date wnen ousir-ass covered by south Viami License will be commencea.') a firm, names of members of firm, i and if a corporation, names of �) If merchant, value of stock carried officers of corporation: (defined as cost -value of stock on hand at close of ' icensee's fiscal year preceding license period; if not in business one year, value as Of commencement of business) : S ' ^ereby certify that the above info =f ^y knowledge and belief, rmation is true and correct, to the best �!ct are null and void (Licenses obtained on a isrepresentation of material Eianed =ate O3 t As 44, CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE As required by City-Ordinance, I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASEPRINT Name of " 6 1 'a/Y P'9 V n ty) Business business: phone: Street address of business: 2oo c) 5.w, u' t South.M.1aml,Florida Suite Products)to be sold or No. 3 0 0 service(s)to be rendered: Z---t;o4z,3 or— (PAYS" Name of owner Date siness did I ' of business: PAr t3 A L/V N 6210 N i-_,5 7- 4- Ir- 4 L MD wilFSAmmence: /<2-30-4 7 Tax Social DOWS - Security# y'ry-.9 License#.-f .?e. 2-9 j If proprietorship,name of proprietor If pa M'hI names of partners W_p, 5yiEve" ?'q6h'LAIV� (_ee- Corado names of officers. WILL THIS BUSINESS... Be a professional OYES Join an existing offlce? 5YES Have door-to-door DYES Operate from a home? OYES association? ON I C*flo service? MNO I I ONO Require state licensing? BYES Require license ME Be licensing fee exempt? DYES I If yes, ONO transfer'? SRO pmvide documented proof. Number of - Gross floor area of Number of parking spaces employees: le� business facie ty: exclusively for this use: (Including owners and management) FOR RESTAURANT, Number of Health certificate OYES Will liquor OYES If liquor Is served, BAR,NIGHT CLUB: seats provided: attached? ONO be served? 12NO, attach license, Person who will b manage the business: S Fc-- v c 6 41 D. Phone: Address of above person: 20 STIREET CITY STATE zF CODE Name of A/_,S -2- It 1E I - A P-4 prop(Iriyowner FA5,1v4Nj Phone: FOR TRANSFERS,LIST 7HE PREVIOUS. Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED�� TITLE: 6157 DATE: 0 6 _ //2�_ .-Fir—J.C. 11- U�&E O�K L� Yl'-�`_ Account# Classification Year: Amount: I As required by Ciry'Qrdinance, l hereby make application for. an Occupational License. i understand that this form must' `0 returned with copies of proof of sanitation services. I also understand that first time occupants of any promises will be required o' a Certificate of Use ;nspectiori Form with the B&Z Department. Separate licenses are required for each business locaiion in the{ PLEASE PRINT Name of • Business business: �CY o . Street address Dh ne. S of business: u joo S # 43so South Miami, Suite Product(s)to be sold or • No. service(s)to be rendered: _� � Name of owner ► Date business of business: will/did commence: Taxi Drivers !D# Security# � License# If proprietorship,-name of proprietor If partnership, names of partners if corporation,names of officers: r 1 WILL THIS BUSINESS... _._....._ Be a professional DYES Jain an exis;r q ;,C�; Qpera6e from a home? association? pN0 _W ; ;-�►°��: iii Require state licensing? ES =: . . _ ..h :r` 'lES i �. ENO _ if,yes, i3NO rovf€fdocurrertted proof. Number of Gross floor area of dumber of parking spaces employees: business faciii exclusively for this use: (including owners andmanagernef FOR RESTAURANT, Number of Health certificate DYES Will liquor DYES I If liquor is served BAR, NIGHT CLUB: seats orovided: attached? DNO be served? ONO attach license. Person who will manage the business: � -�� N Phone:��s ,�4 Address of above person: __ � M I�I 331 �' STATE aPf Name of property owner_ la _ • t � Phone: FOR TRANSI=ERS, UST THE PREVIOUS- Business name. Ad jVlar Address:_ I hereby certify that the above information is truc and correct, to the best of my knowledge and belief. o understan that licenses obtained on a.misrepresentation -f material fact are null and void. VOLVO LLSIGNED: _ _ r DAT U•'�7:•�`•.�.6:-ll�"•�:::Y�i �":'�?:�,+S` I��MZo�y...5.�:�;'k"A+�:3"r';�. _: £va •�t Account# _ _ Classification Year. Amount•. Fee Transfer . 9x�� Penal Amount + ��/v ' ITY OF SOUTH MIAMI ,� -112 E V-9 . APPLICATION FOR OCCUPATIONAL LICEN AUG I U 1995 by City•Ordinance, I hereby make application for an Occupational License. I understand that this Io`riri mu"s�Ke"d'orSflit�tetl'and ,a with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete �-e ificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of „ !l1" l Business s-r. �. business: .L-1 � ly v A Y d.R v vnl -a: phone: 3�S- Street address South Miami,Florida of business: 202° S�`'• �d v`' S`�`�� Suite Product(s)to be sold or 3 jY No. 3oa service(s)to be rendered: I)oGtaTzs ' Name of owner Date business of business: t3s [-/�N L C�r x 11"L z5-v _ � _/rL m:) . P.P_.� _- wil did mmence: Tax Social Drivers D# �!/ Security# Y I'Y-�l- '79T 2 _ License#,y z 9 3 -6 o If proprietorship,name of proprietor I partn rshi ,names of partners �Er H(jALRN r�'.& �,onyaLEz GCc RNA/ oratio ;names of officers: S �' ti WILL THIS BUSINESS... Be a professional ES Join an existing office? YES Have door-to-door OYES Operate from a home? OYES association? ON L'`1V0 service? �KIO �0 Require state licensing? BYES Require license 0,E Be licensing fee exempt? OYES If yes, ONO transfer? EaN� C�1�10 provide documented roof. Number of Gross floor area of 3 '/'/ o Number of parking spaces ° employees: business facility: exclusive) for this use: includin owners and mana ement FOR RESTAURANT, Number of Health certificate ❑YES Will Liquor ❑YES If liquor is served, BAR,NIGHT CLUB: seats provided: N° attached? dNO be served? MNO I attach license. Person who will F ,� U n .� „� m• D, Phone: 3��` S:b�i L S _ manage the business: S�� e "` S_ � Address of above person: 7° s "'' a v�' e S' m r-?-- 3'3 COD 3 STREET CITY STATE ZIP CODE Name of propP,tY owner ell L� � � � T . �c- _ v. n,� . Phone: � FOR_TRANSFERS,LIST I Or-r'RLViUUJ: Business name: -- Owners' Address: I hereby certify that the above information is true and correct,to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. .! f cam.- DATE: "9S SIGNED. TITLE: � d iFti. - .a > k .:v_ S ; Ill• u>. Account# �' `7O Classificatioonn� �5 Amount: Year: � o CIU Fee 7,J Transfer. Penal Amount Use: `! ,S'�G!mod i -- - t FORYR.:. 1995-1936 G 663-6300 NOTICE OF.AMOUNT DUE FOR OCCUPATIONAL LICENSE i hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu- ite You are Y SEPTEMBER 30, 1996. pational license for the classification and in the amount stated herein, for the period ending: Number I 301 MEDICAL OFFICE I $ 100 .00 LICENSE FEE h YR 96-0215 LICENSE TAX PAYABLE AT OFFICE OF TAX COLLECTOR, CITY OF SOUTH MIAMI, ON OR BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER P .667-6773 1,A 10%PENALTY FOR THE MONTH OF OCTOBER I CC3SME' A GQMEZ, MD, PAS # AND A 5% PENALTY FOR EACH MONTH OF SUITE #340 DELINQUENCY THEREAFTER WILL BE ADDED,AS I Y REQUIRED BY MUNICIPAL CODE OF SOUTH 7000 SW 62 AVE/ d SO. MIAMI, FLA 31143 _. {{ - :{ MI4Mb7 MAKE CHECKS PftYABL =�(J CITY OF SOUT}+MIAMI THIIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE if corporation,names of officers: WILL THIS BUSINESS... Be a professional EYES Join an existing office? Wts Have door-to-door 12YES Operate from a home? 1EYESi association? ❑NO I ONO service? WO tN0_J Require state licensing? 9BYES Require license I EVES Be licensing fee exempt? AYES If yes, _ ONO transfer? ONO ONO provide documented proof. Number of ---_-- Gross floor area of Number of parking spaces �� employees:_� _ _,_,_� business facili , 0 euclusivel for this use: 35 A• Or cludln owners and management L___ FOR RESTAURANT, Number of Health certificate OYES Will liquor OYES I If liquor is served, BAR,NIGHT CLUB: seats provided: attached? ONO I be served? ❑NO attach license. Person wb.a will . manage the business; Sir �� 1 ipsOc> Phone: �.4p5 ' C�7 — 73_.____ Address of above person: 7009 S• W � �1G ��w i-'- 3� �• M�Qn�� 33% STREET crrY STATE ZIP CODE Name of 5� Q�B, property owner Phone: & - FOR TRANSFERS,LIST THE PREVIOUS: lea Business name: _•_. 'mil Ow7�t �Or-�i�0�7�p� Owners: Address:A &I rm�7Ig c &4�- Zo fAA R-5;rm l P)'a ha m I hereby certify that the above information is true and correct, to the best of my knowledge and belief. Y also Linderst , that licenses obtained on a misrepresentation of material fact are null and void. SIGNED:_ TITLE: �feSr GfEn7 DATE: f� "—.--_. r rrw� _ O F F f C E USE ONLY Actoun #� _O ✓ Classification Year: _ - Amount: ' CN Fee Transfer Penalty unt Use: ' T TuTHL l "126�UL-15-1997 1121 CITY OF SOUTH MIAMI BZCD P.01 ss�• APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed ar returned with copies of proof of sanitation services. 1 also understand that first time occupants of any premises will be required to comple a Certificate of Use Inspection Form with the B g Z Department. Separate licenses are required for each business location in the City. PLEAS!_PRINT of business. Street address u ' c South M of business:„ 7 d D S• tat �G v�- " n Miami,Florida Suita PtodLtcgs).to be sold or en Q 1 t No. 3 0 0 _ s x*s)to be rendered: Name of t�wner, b a a i, c.Q,� f n 2 'Q ��ess o — of btu : �a ) { sue �, w _ �, Tax Sotwal Driven seajrny lxense# 3 S— S.S 6 9 7—� if proWM=s#,mane of pm prietor rf carparatiatt rtatnes of o= t V—C-10 JOIX bzr 2 ✓ix w i e !c' WU THIS BUSINESS.. Be a pmfessional ,loin an existing.office? Have door:A-door crfEsT Operate tram a htxne? I�1'ES assaoatmrt? DNO ONO servax? pl!dD 11b Require stale ficestsing? Rego a Ucense Be ficcetts V fee exempt? CIYES If yes. ENO transfer? I ❑NO aM doeurnented ornof. Gross Moor area of M=%ber of partang spatxs W j / men ex>kWvely for tftls ttse FOR RESTAiJRANT, Number of Health DYES WID DYES tf is served. BAR NIGHT CLUB: seats orovidei: attached? ❑NO I be served? ONO attach license. Presort>,vhe we e s1, h Phone 3 0 5` �o $_ 6 /1��o manage the tzess ''' - 2 Addte55 of above pasart: 2-0 0 0 �A 3 3 J 3 srtr tan ZP CODE Name d � pDperty owner +�-A�-� � cam. �' �.� �T FOR TRANSFERS,LIST P d THE FREVIOIJS. (1.11771!iM 1 wme: .. Addi ess• I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that Iicenses obtained on a misrepresentation of material fact are nuit and void. SIGNED: TITLE DATE: --f UU OFFICE USE' ONLY' Aix wnt-A Ammer Year �� -�• Aoint C!U Fee / Transfer .�_.. n Use: % ("`.-��..L �! ''��i' �f'� � ,l�•��,�`I' �%' TOTAL P.01 OI'L'Y OF SOUTH MIAMI 'Z7 OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami, FL 33143 Phone: (305) 663-6343 Finance Department _ _.. ::001 Check one: ❑ NEW BUSINESS sr-XISTING BUSINESS ❑ HOME BUSI�NE•'S OF ADDRESS ❑ CHANGE OF NAME Please Print BUSINESS - NAME OF BUSINESS N OR APPLICANT NAME: -b° i '� �1 �(:1, 4 ��n t l,,`� 3'� _,,,I ro,.--�I �rr r PHONE: Fictitious Name/DBA: -- NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: MAILING ADDRESS: / z' �' '�`� Tax ID -�/ _ S.S.#: D.L.#: DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI:: PROPERTY OWNER: `4 °� �( ` • PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS:, GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE:. - DO YOU CURRENTLY HAVE A COVENANT ASEMENT, OR LONG TERM LEASE (CONTRACT) FOR VOFF-SITE REQUIRED PARKING FOR THIS USE: 0 YES (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: JOIN AN EXISTING OFFICE: Name of office: a-YES ® NO 3> BE A PROFESSIONAL ASSOCIATION: ®.-YES ® NO D REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ICES ® NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) Cl YES `ENO FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ® YES l C. Will Liquor be served? ® YES NUMBER OF OUTDOOR SIEATINGS: swear that all the above Information is true and correct. Ti S G ED _ TITLE_ fit° DATE L0 x.. -4 ^3 Y e ',. A.r:.,v'`kr f_ ,�i aa4•a'S }4•>z kFii"v't y '�"t: Y••Y"SI{F t 1'ty 7-._. 4'' i-:� sIF �i 'r^. � >':"tS6fisssnr �{i,a :t, .x1'` IGk gu3� T ('F,K iaN•:?,y; ''°.'*S..r,. ..:has�u:)_ ,.'i° �'.- �5. €s:,��h......G✓x ;,s�?'.,,,. .< LICENSE _ 113 1 = CLASSIFICATION: �% — , ) C.U. _ USE APPROVED BY: _ DATE: �! I� TRANSFER LICENSE NO: ?; i11')II YEAR: ,°a / PENALTY 1 r a OUTDOOR SEATING _ ., --- u.:.::__ ICCi�c f�n•rr. p, t;;! -. 11 r".1 ti Rv• ir*'^ .�� TnTAl ��,li \� - Solfi MYx,e,l OCCUPATIONAL LICENSE APPLICATION � }.i IW-AR1lPIG8 Cutl! :. .4 t� _ ,<„• 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343 2001 Finance Department Check one: W BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAP.,}- Please Print NAME OF BUSINESS. ---z-- _ BUSINESS OR APPLICANT NAME: r-re lsi PHONE: Fictitious Narne/DBA: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: c� c� `3 f ”' .✓i' 1<4,` J,/ MAILING ADDRESS: sr.� �� 6:�3: �� f d°d' �/ .3'3 c �S�GtiA-��^--•L---� � l�=`'L`- �,;3 /�;�� Tax ID#: Y S.S.#: D.L.#:. DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI ° 3 PROPERTY OWNER: C: �. � . \4�'� �:� _PHONE. FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: _ PRODUCT(S)TO BE SOLD. SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS:. n GROSS FLOOR AREA OF BUSINESS FACILITY: T0 ~'' SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE.: DO YOU CURRENTLY HAVE A COVEN EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: 0 YES 0 (IF YES, SUBMIT COPY.OF= CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office: 3r"rES .® NO • BE A PROFESSIONAL ASSOCIATION: dsYES ® NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) AYES ® NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) D YES O FOR RESTAURANT, BAR, NIGHT CLUB: Healt7certificate ch ed? D YES VIVO Will Liquor be served? ® YES NUMBER OF OUTDOOR SEATINGS: I swear th all the above information is true and correct. Ay+f NED �. 6�'� a r TITLE DATE ' V R" .°*°...,� .'p•S '.-' 'krP"'T' s .fij.* Cu .y r{ y s w :,� r5-'S�.%r j *i. y En{�z_s €:, Q c 3.�„ k • 3., qtr,p a.t' {�='r a.%fir+ .M-n.,H USE. C. LICENSE c g, CLASSIFICATION: ��,J_ C.U. USE APPROVED BY: DATE: TRANSFER LICENSE NO: '� � YEAR: �, PENALTY _ OUTDOOR SEATING a ISSUE DATE: 8Y: °-r > —� TOTAL 5' B u DING IDEpARTMENT CITY OF SOUTH MIAMI (:)CCUPA,.rj0NAL LICENSE APPLICATION b w PHONE. � �i BUSINESS NAME: J, -aro-j FL ,531(43 At USINESS ADDRESS. s � B 11�ING ADDRESS: �b fWLL CO IN SOUTH ID DATE BUSINESS D D.L. S.S. -4: ------ TAX ID 9:� ERS OR C ORpoRATE OFFICERS: NAME OF PROPRMT PARS �4 c- L4 E MERGE N Cy CONTACT PERSON '33iq3..PHONE: ADDRESS 'b PHONE: - PROPERTY OWNER : a n FOR No. US VALID LICENSE SFER LIST PREO Fo TRAM VL PRODUCT(S) TO BE SOLD: 'UARE FEET sbu. SERVICE(S) TO BE RENDERED: - ------- ,�S'FACUITY: GROSS FLOOR AREk OF BUSINESS ,- G SPACES EXCLUS`NERS0��AGERS:ER OF PARKN O -NTU-NOER OF EMPLOYEES INCLUDING WILL THIS BUSU'4ESS: YES No BE A pROFES SIONTAL ASSOCIATION PROOF) YES NOAE7— jOrN AN EXISTING Or-jqCE (IF YES,PROVIDE YES NO.---I--�. HAVE DOOR TO DOOR SEpV'ICF- YES NO OPERATE FROM A 14ONM YES NO LICENSING (IF YES,Plz�OVU)E PROOF) No STAXELI y-ES'pp,0VIDE pROOF) AT-IE— NSE- -REQUIRE SING FEE,EXEMPT (IF B ATTACHflEALTY1 CERTMC AND LILQUOR LICF -N BE LICENSING CLU ATION SERVICES- RESTAURA,NT, BAR OR FROVIODC pRoOF OF SA'MT ALL AppLICANTS MUST IS TRI AN D- CORRECT. VE�NFORMATION - I SWEAR THIMT ALL Tgll,,AllO DATE TITLE SIGNED FEES 7 1ZY LICENSE OFFIM U L SE C. . USE U I — -ANSFER CLASS- L SS-EFICAT DATE:USE APPROVED BY. ENATY YE ACCOUNT NO BY. ISSUE DATE! CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION o/� r_ ` 1 BUSINESS NAME: 0 � PHONE:°�'�U ' BUSINESS ADDRESS: �"UO �7 MAILING ADDRESS: kk e << 0 DATE BUSINESS DIDIWILL COMMENCE IN SOUTH NEAMI TAX ID 65--1 S.S. #: =v�. I .L. #: ----- _— NAME OF PROPRIETOR, PARTNERS OR CORPORATE O/F/FICERS: EMERGENCY CONTACT PERSON: Q (A MM C 5 AV I ALP �Q5' PHONE: f�'�U3'( �/ a3 3 ►S PR6PjHRTY'-0wN7ER. : PHONE: I"��0�' � �D�PS• �g FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PPMDUCT(S) TO BE SOLD: SERVICE(S 'TO BE RENDERED: (AL C GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NU11,MER OF PAbWJ'NG SPACES EXCLUSIVELY FOR THIS USE: vaff, NUIvWER OF EMPLOYEES INCLUDING OIATNERS AND MANAGERS: s�� p� WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO — JOIN AN EXIS'T'ING OFFICE (IF YES,PROVIDE PROOF) YES ^"—:'NO HAVE DOOR TO DOOR. SERVICE YES NO L,`� OPERATE FROM A HOME YES NO . y --:>REQUIRE STA'T'E LICENSING (IF YES,PROVIDE PROOF) YES �° ' NNfl � BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANT'S MUST PROVIDE PROP OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED ',4,C'_ TITtE DATE OFFICIAL USE ONLY s USE: t-I �.� G _ LICENSE Z- w CLASSIFICATION: C. U. USE APPROVED BY: DATE: (.0/1 TRANSFER- ACCOUNT NO. -- - YEAR: 1PENALTY ISSUE DATE:! o ,` BY: TOTAL rM CITY OF SOUTH MIAMI BUILD NG DEPARTMENT OCCUPATIONAL LICENSE APPLICATION ff Y�IDS)f 14- BUSINESS NAME: kenLip*l' a, PHONE: -(I43 (o `9000 6Lk) 61, 1-a A 31 -3 BUSINESS ADDRESS. v 3�3 �q IV AILING ADDRESS: sAwl & DATE BUSINESS DID/WILL COMMENCE IN SOUTH NRAMI TAX ID #: 611-W4/1 � s.s. #: D.L. 9: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS: PHONE: PROPERTY OWNER : 4t4416otc* PHONE: A' FOR TRANSFER LIST PREVIOUS V ID LICENSE NO. _ PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY: S QUAlt2 FEET lNUM[BER OF PAR KJNLG SPACES EXCLUSIVELY FOR THIS USE: - C*- -NUTVIBER OF EMPLO-Y-EES INCLUDING OWNERS AND MANAGERN: WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO DAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A HOME YES NO REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) 'YES NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SW BAR THAT AL ,'THE A OVE INFORMATION IS TRUE AND CORRECT, c\ tb SIG DATE TITLE S ",,, I FEES OFFICIAL USE, ONLY U�. LICENSE USE: CLASSIFICATION::; r, -x C. u. USE APPROVED 131C: DATE: TRANSFER ACCOUNT] YEAR: ® - PENALTY 2- cD o ISSUE DATE- BY: g&,0 ,__j2P0TAL Tex- (f ms, IY1 5C _ ZCITY OF SOUTH MIAMI BUILDING DlEPARTMENT OCCUPATIONAL LICENSE APPLICATION 11 1 I G---t BUSINESS NAME l 4 rnrn IC�r IPHO JC � BUSINESS ADDRESS:IML Lc--� ) 0) ��;L, '(_,�I h M)Darn i MAILING ADDRESS: / ��N DATE BUSINESS^DIDIDIWWILL COMMENCE IN SOUTH MIAMI TAX ID # �E � S.S. 9:5E3-�q q�` ,::��- D.L. : h'�D NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: �. ADDRESS` Ll--) I.C) I `�i� `�� PHONE�� _ ` PROPERTY OWNER :/�, y �, I n � � 1�. 1�C��, � �p � i,�� :�Y�� PHONE:�� FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: N ) SERVICE(S) TO BE RENDERED: Y1 GROSS FLOOR AREA OF BUSINESS FACILITY: `SQUARE FEET a NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: :1 J )) NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: WILL THIS BUSINESS: = s BE A PROFESSIONAL ASSOCIATION YES NO JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES ✓ NC ; HAVE DOOR TO DOOR SERVICE YES Nrr OPERATE FROM A HOME YES NO 1 " REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES i/ NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT L THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNS ii(�,�TITLE CF DATE OFFICIAL USE ONLY FEES USE: LICENSE & s- / G// CLAS ICATION: C. U. USE APPROVED BY: DATE: TRANSFER ACCOUNT NO.: YEAR: PENALTY ISSUE DATE: BY: ITOTAL $ LS 1 APPLICATION FOR OCCU AnONAL L!1 NSE As required by Ciry Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of'sanitation services. I also understand that first time occupants of any premises will be required to complete a Ceniticate of Use inspection Form with the B Z Depw=ent. Separate licenses are required for each business location in the City. gPLE4SE PRINT p business: L( �u l 1!� -� � 1 ? eg fj phone: ofbust : 6® r -� �� f�® South Miami,Florida S its Produc4s9.to be said or 9%� rig. ®Q seine gs)to be rsndee�d: ¢' 6 wee �- r Dante= Natnta ol!rte'' ��- of buns: rA60. =� � >� r � �d commence: o " Tax Sodal Drim low It pmpdeWaMp,name of prWrietw if ,names of platters if!CO rpo.°ati®n names of a�ifi : C � � c,E !i � WILL THIS BUSINESS... lie a prt tessiona! n an�statg oft ? S Have door-to-door DYES Grate team a�home? BYES ass s ? 03Ndsi! sue? Ulm l Require statettsing? S Requite license ® iitairig fee trot? ONES If yes, MNO transfer? ®N® MW pmvide d rnented prod Numbef of Gris.s f or a of /,! Number of pang spa t�reploy : E3trsirte �..,, `/ s 'a e�tsleely fortis ers�: � Inclu� owners and m oemest FOR RESTAURMT, Numbw of Health C030M DYES I vmnw DIMS I Iffiquorisswad, SAP,NIGHT CLUB: seats tjrt Mde;i, ed? 0NO be sew? END Beach lip. Parson the V al ha M D d� tee�e business: �.,, Plt�ne: Address ofa person., 76 � . � �� -fie: t ' ? ; ��• eat�oA STRMT �ti' RATE � Phone: Omparty trx FOR TRANSFERS,LISP THE PREVIOUS: Business nay: tn : �- — Addnzw. I hereby certify that the above infonrtation is true„and correct,to the best of my knowled a and belie I also understand that licenses obtained on a mi�pr=eentation of material fact a and void. SKIN®: a'!* ,TITLE � �.�, � .�. DATE: �c UU OFFICE USE ONLY'-� Punt ' classfeston Year zz_—j fit• CAJ Few Transfer a Mount use TOTAL P.01 �i■llll� CITY OF SOUTH MIAMI ' � �� _ APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby make application for an Occupational License e understand that this form sY completed returned with copies of proof of sanitation services. I also understand that first time occupants of any premises wt equired to comp a Certificate of Use Inspection Form with the B &Z Department. Separate licenses are required for each business ocati n in the City. PLEASEPRINT f) / Name ss Business busyness: �(�� phone: Street address,.- of business: ( J L!J f' �� South Miami,Florid Suite- 2 � Product(s)to be sold or "D1� No. J service(s)to be rendered: 1�f 1 Name of owner _ Date business �J of business: , CJ 1 _ \ wilVdid commence: !7 Social D# I 0 ' l Security C�, i �1 License it Tax ( . L� Drivers Secu # � If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: WILL THIS BUSINESS... — Be a professional OYES Join an existing office? Have door-to-door ❑YEa Operate from a home? ❑YE: association? 1 ❑NO 0 service? I ❑NO I ❑NO Require state licensing? AYES Require license OYES Be licensing fee exempt? ❑YES If yes, ❑ 0 transfer? I ❑NO ❑NO rovide documeniet oroof. Number of Gross floor area of Number of parking spaces employees.- business facility: exdusiveiv far this use: including owners and management) FOR RESTAURANT, Number of Health certificate ❑YES Will liquor If liquor is served, BAR,NIGHT CLUB: seats provided: attached? ❑NO be served? L`N-C: j attatdt license. Person wbo will f IMP manage the business: \ • ��` Phone: if Address of above person: cA M j c- SYD STREET CITY STATE aP CODE Name of property owner Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: �t Chi'!hanalw DATE: — - l OFFICE USE ONLY - - nt# _ � Classification ` Amount: _ Transfer Penalty Amount i .-t 1, lak CITY OF SOUTH MLAMI . ... ... . ... �i r y APPLIC'AT'ION FOR OCCUPATIONAL IJIC'NS�f As required by City Ordinance, I hereby make application for an Occupational License. I understand that this form✓✓JJmust be completed Ld returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete Fl:i"t'dtiii� n',`S: inspection Form with the 5 & .'r s?�rG went. SepaTat£ l<_ t;�,-. -":r,-; :#tI?i:i; .Ga ca,C1i U ui.�iL'� iCiti:�.. .-� :n+Ile',�lt•�. PL.E4SE PRINT - Name of-T-) t' Business 1' business: 4 `{✓ phone: Street address South of business: MGami,Florida Suite ? Products)to be sold or No. I service(s)to be rendered: Name of owner~ t Date business C of business: 7 k f�` � i � -''� 4�� 1'� �l • i; �� I w71/didcemmence: �1 Tax �� Social - Drivers ID# `1- � Security#. `fi 4 If proprietorship,name of proprietor if partnership,names of partners �. if corporation,names of officers: AsU� WILL THIS BUSINESS... Be a professional a ES Join an existing office? DYE - Have door-to-door AYES Operate from a home? DYES association? ONO C I N'O- service? DNCr DN Require state licensing? IVES Require license DYES Be licensing fee exempt? DYES' If yes, ONO transfer' ONO a documented proof. Number of Gross floor area of Number of parking spaces employees: business facilitr. exclusively for this use: ' n'✓Wit= �- f din owners an.,;nan ement FOR RESTAURANT, Number of Health certificate ✓OYES Will liquor DYES If liquor is served, BAR,NIGHT CLUB: seats provided: attached? ONO be served? DNO attach license. Person who will ` 1 manage the business: 3 , tU Phone: Address of above person: STREET CITY STATE ZIP CODE Name of property owner L"D % to�i G• t Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void SIGNEI]� ,\ \\tom i�`t M -��'� i �L TiTLE: 11�� . �•r DATE.- I .. ,i,=.rY=" r"!:::.,.;.•� a�fix. .t :... ...+a.r. '.. .. :. Y' _:,'. xr. r -+e!�r,Y}"'e.:••m. 7:�;y. _ :..Y:... ':?Cv;.t;rr•... Account# Classification Year. Amount C-76 •� ) CIU Fee _� % . Transfer Ponalty j Amnunt c City of South Miami BUILDING & ZONING APPLICATION FOR OCCUPATIONAL LICENSE s required by Chapter 13 , Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license my be issued. 5) NAME OF PERSON(S) WHO WILL 1) So&a_ /tA MANAGE, CONTROL OR DIRECT THE REAL NAME OF PERSON BUSINESS TO BE TRANSACTED IN THE CITY OF SOUTH MIAMI: HOME ADDRESS 0.s CITY, STATE, ZIP _-Gj S — 0 4,0'e 3 3 r TELEPHONE NUMBER 6) M E.Dacc.4,L Fr ICE NATURE OF BUSINESS 2) Pf�g AL- A-P ,G-o,j z-I4L EL sC 14�V fitt S& N&s ®A. FICTITIOUS NAME OF PERSON, FIRM TYPE OF MERCHANDISE HANDLED, OF CORPORATION ( IF ONE IS USED) 2Do o s'. 6 �� A-V£. 5 u i'fe Sao S�•HS� OR SERVICE RENDERED LOCATION OF BUSINESS (SEPARATE q LICENSE REQUIRED FOR EACH 7) LOCATION DATE WHEN BUSINESS WILL COMMENCE (IN CASE OF PARENT CD(D 5--6 FIRM LOCATED OUTSIDE THE CITY TELEPHONE NUMBER OF SOUTH MIAMI , STATE THE DATE WHEN BUSINESS COVERED BY SOUTH MIAMI 3 ) J-(- 6h) A- GO K'P• COMMENCED)LICENSE WILL BE NAME OF OWNER OF BUILDING IN WHICH THE BUSINESS IS LOCATED 8) IF MERCHANT, VALUE OF STOCK CARRIED (DEFINED AS COST VALUE OF STOCK, ON HAND AT CLOSE OF 4) IF A FIRM, NAMES OF MEMBERS OF LICENSEE' S FISCAL . YEAR FIRM, AND IF A CORPORATION, PRECEDING LICENSE PERIOD; IF NAME OF OFFICERS OF CORPORATION NOT IN BUSINESS ONE YEAR, VALUE AS OF COMMENCEMENT OF BUSINESS) jTEJ�� S-�8R2fl� M_. . Ed (s-aNZALEz,, °y.o. $ ee. A N n� ScA"iAALA M 9) GROSS FLOOR AREA OF BUSINESS �� b¢r't' P►• Z N y-Qc-)ieL ki .A4,0- ' NUMBER OF PARKING FOR BUSINESS I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. (LICENSES OBTAINED ON A MISREPRESENTATION OF MATERIAL FACT ARE NULL AND VOID) . SIGNED 1/X ��cf� AS �Z f�1i'� TITLE OR EXPLANATION OF . DATE CONNECTION WITH OWNER F t ; p `I City of South Miami 19 19 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) _ GEORGE R. TERSHAKOVEC, M.D. 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the 9350 SW 48 Street, ,Miami 33165 City of South Miami : Nome address Zip NORMAN M. KFNVQN., M LZ —2-74-6924 Telephone number se I o 2) 6) SURGEONS ' OFFICE Fictitious name of person, firm Nature of business of corporation (if one is used) MF:DTC AT, CARP, Type of merchandise handled, or Location of business separate license required for each location) Service rendered Telephone number 7) ' Date when business will commence 3; ALBERT SOKOL/JEFF LANE (In case of a parent firm located ,Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; if _DRS _ KENYON AND TFR�,HAKC)VFC`F P.A. not in business one year, value as of commencement of business) : PRF.STDFNT• NORMAN M K NYDN., M.D. SF.C'RF.TARY• l'F(�RC'F R TERSHAKOVEC, M.D. I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) • (�` Signed � Date As -65; OFFICE MATIJAGF.� Title or explanation of connection with business. BZ100-2 REV.6-27-52 hPMTCATIU11 Volk OCCU'PXTXONAL LXCRNSE _�giiired by ordinance #' 1880-1079 0 the,( of South Miami, X e aPpliaatioh tax an Opaupational License. I understand that this to must op be completed and xptuxnod with copies of proof of sanitation servioeo and casualty insurance. X also understand that Brat time acoupants of any promisoa will be regUirad to oomplate a Cartitioate of Use Inspection trorm, NAME OF BU$I21�t$9 s O '7C 7�{! tx�3C C�l�Y:.Y tCgwAl�, ,ups,t ACCOUNT N �� uyon�, ,�sf/AkatlE.�, As CA , $ Off' CLASSIFICATION #� / 0/ 7p0�TS�A/DD�t��. �3..�aESB t XEI►Rs•. �.992�93 . South MtiaXi, Florida -Sv" 3 C/C. FEET $75.00 GLSF$R1":$.3.00 Separate liosnges are x quired for PENALTY AMOUNT each busit►ess location In the City, SUB ,NESS PHONL'! (0 ee S'_o 43(. USE: p1�ODUCTtS� TO BE SOLD OR NME or PERSON WHO WILL MANAGE, SERVICE S TO us RENDERED! ►•�yO,t�, M BU$xNE55t -1p�1C�-4 8TR>G�ET XODRE$$ OF ABOVE PERSON, NAME •O'F 0 SR OF BUSI)%S t r 5An4� 'Ies CITY, STATE, 22P CODES DATE STJGZNESG WILL/DID COMMENCES �NlM�u478;4 HOMS TZLEPHO E OF ABOVE PERSONt PROPRIETORSHIP, NAME 'OF PROPRIETOR 2F PARTNERSHIP, NAMEa OF PARTNERS AME OF PROPERTY OWNLRt I,F CORPORATI N, NAMES rQ' OFFICERSt /- �-7?-�S1?u77 tlIPJ4if� (il• 14Ly!or� V., �S• Quo � R•`l�r�a��oJ� �}J �r R s�"�1� PHO1�F. OF E>ROPERTX OW2�$R i CaGS^ 0 ci/ .CFI FOR ALL BUSINESSRS1 FOR RESTAURANT/BAR/NX0HT CLUB ONLY1 rJOINBlJ8INE88. YES lt0 NUMaBxt or SEATS PROVIDEDt ESSIONAL A880C.? ,. HEALTH CERTIFICATE ATTACHED? XIS INO OPPTCE? r' WILL L%QUOR BE SERVED?' -TO-DOOR SEItVYCE7 at quor is served, attaOh �.iaenae ROM A HOME? f FOR MERcmANTS/WHOLESALIEAS ONLYz REQUIRE STATE LICENSING?' VALUE OF STOCK Ci+PAIED NZ DOLLARSt REQUIRE LICENSE TRANSFER?' 4v.11l1%od M coot v.lw or *%*Qx o„ llao"W* BE LICENSING FEE EXEMPT?` "-- :a■.&a y..a rv...e " lla•n.. "sleds how.v.r, W •.♦ an 1rw;h•.r ons yMr. vatu► " o/ Vo*■ehol"em at i wAhoRS, * It yes , provide documented proof FOR TRANSFERS, LIST THE pREVIOUSt DROSS FLOOR AREA or BUSINESS NAMR1I SUS%NESS FACILITY i 4004 S4 IkS 60 �5 00019 R op PARMIN SPAOX$ OWNERS%0$XVELY ?OR THIS USE! DAf reli ko% •Dr ��CA�►Ne J +a , P A . NUMBER OF BMPLOYEE$=. '2J ADDRE9$! -700a 5062 /�tl�� I HERESY CERTIFY THAT. THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICEN8E8 OBTAINED ON A MXSREPRZSEN TION OF TERIAL FAOT ARE NOLL AND VOID. BIaNEQs TITLE, < t 4� 0 DATE, �r�' � C('a City of 5oiuth Miami 19 - - - 19 _ 6130 Sunset Drive, South Miami, Florida 3314 TwAPPLICATION FOR OCCUPATIONAL LICENSE r. As required by Chapter 13, Article 1 , Section 13-1 , of t�hU o�eo , 90 Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be compBt d�ar}r1 returned before a license may be issued. 11 1 ) _!7 n. Ca n L of 4. Su a n eg 5) Name' of person or persons who will Real name of person manage, control or direct the business to be transacted in the N me address ip b Lem, 33if¢ty of South Miami (305) 446-3676 &2 C,a L6za 4 Suaae - Telephone number 2) N14 6) /�jed�ca. 0�ce Fictitious name of person, firm Nature of business of corporation (if one is used) 000 Sl/ 62 4venue #340 Aiami , 3314 ype of merchandise handled, or Location of business separate license required for each location) ervice ren Bred (305) 662-163o Telephone number 7) Aanch 30, 1990 - � One Seven %hou�and /'.Lacey Inc. Date when business will commence 3 (In case of a parent firm located Name of owner of building in which outside the City of South Miami, business is located. state the' date when business covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, g) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; if not in business one year, value as of. commencement of business) : I hereby certify that the above information i ue and correct, to the best of my knowledge and belief. (Licenses obtained o a 'srepresentation material fact are null and void.) - -- Signed Z Z Date 4uqu/1 t 17, 1990 AS Ownen Title or explanation of connect on with SZ101-Z REV.Q-27-82 business. i City of Miami 19 8 19 11 01 19,4M 6130,,Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City. of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may. be issued. 1 ) Calvert A. Arold, Director 5) Name of person or persons who will Real name of person manage, control or direct the 7000 S.W. 62nd Avenue, Suite 306 business to be transacted in the South Miami,-_.Florda - 33-143 City of South Miami : Home address Zip Calvert A. Arold (305) 235-4063 Telephone number 2) Worldex Travel Centers, Inc,. 6) Travel Agency Fictitious name of perso-n;-firm } Nature of business of corporation (if one is used) 7000 S.W. 62nd Avenue, Suite 306 Ticket sales South Miami Florida 33143 Type of merchandise handled, or Location of business separate license required for each location) Ticket sales Service rendered (305) 235-4063 Telephone number 7) License renewal Date when business will commence 3) Harold Claire Leasing (In case of a parent firm. located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) 4) If a. firm, names of members of firm, g) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year -preceding- license period; if Mario F. Rodriguez not in business one year, value as of commencement of business) : Kenneth V. Knight Robert H. Sloat I hereby certify that the above information is true and correct, to the best of my knowledge and belief, (Licenses obtained an a misrepresentation of material fact are null and void. ) Signed Date 1117/86 As Travel Agent Title or explanation of connection with business . BZ100-2 REV. 8-27-82 Citu of South Miami 1 6130 Sunset Drive. South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter .13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) 5.) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the City of South Miami : Home address Zip Allen F. Burkett Telephone number 2) •Interval International; Inc. 6) Vacation Exchange Network Fictitious name of person, firm Nature of business of corporation (if one is used) 7000 S.W. 62 Ave. , Suite 306 . Type of merchandise handled, or Location of business separate license required for each location) Service rendered 666-1861 "' Telephone number 7) RPnPwal Date when business will commence 3) Office Service Management (In case of a parent firm located Name of owner of building_ in which outside the City of South Miami , business is located. state the date when business covered by South Miami Ll cen.3' will be commenced. ) 4) If a. firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; if Mario F. Rodriguez not in business one year,' value as of commencement of business) : Kenneth V. Knight Allen F. Burkett I I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) Signed SUIT CITY OF SOUTH-MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: � ��L i v /" I, HONE: i BUSINESS ADDRESS: ll 00 �lwl C ` MAILING ADDRESS. l DATE BUSINESS D /WII,L COMMENCE IN SOUTH MIAMI ll? , TAX ID#: r i r SAS: #: f D.L. #: k NAME OF PROPRIETOR; PARTNERS OR CORPORATE OFFICERS: f Y EMERGENCY CONTACT PERSON: ADDRESS: ` PHONE: PROPERTY OWNER : PHONE: FOR TRANSFER LIST PREVIOU V ID LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: ) ;, � ( GROSS FLOOR AREA OF BUSINESS FACILITY: t Y,)0 SQUARE FEET o NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: oob ° NUM p° NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: Yom,' o�'? ° 6000 o' p00cl a WILL THIS BUSINESS: $ oaoo 0°06 BE A PROFESSIONAL ASSOCIATION YES 0 ° JOIN AN EXISTING OFFICE(IF YES,PROVIDE PROOF) YES _ NO 4--_006008 000080 HAVE DOOR TO DOOR. SERVICE YES °m,o �$itf°o$o ° OPERATE FROIVI`A OE YES��A N(��— ° °n$o REQUIRE STATE LI r ENSING(IF YES,PROVIDE PROOF) YES `, 1 �oNO x §0000� BE LICENSING FEE�XEMPT(IF YES,PROVIDE PROOF) YES °AID ° ° RESTAURANT, BAR OO NIGIIT CLUB ATTACH�HEALTH CERTIFICATE AND LgUO19,LICE 'o ALL APPLIC 'N TSB MI7S PROVIDE PROOF OF SANITATit3N SERVICES. ° �' a . ` 6 00000 I SWEARA TALL; ABLVI INFO'6 A110N IS RUE AND : r .. COitE.�CT. TI TLE ,� �� R C 0 SIGNED DAT o OFFICIAL U FEES USE: Z !, LICENSE CLASSIFICATION. ' C. U. USE APPROVED BY:. DATE: " TRANSFER j ACCOUNT NO.` 1-t9-YEAR: ' : ISSUE DATE: .� �'�',� - 0 BY: � � ,� ``� � PENALTY / ,► TOTAL 4 CITY OF SOUTH MIAMI + OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami, FL 33143 4�j._F. Phone: (305)663-6343 Finance Department Check one: In/NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS U CHANGE 0' Please Print NAME OF BUSINESS. BUSINESS OR APPLICANT NAME: an 1 �� i ►� � PHONE: Fictitious Name/DBA: L° el �R �' NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: 000 `r 11 a MAILING ADDRESS: Tax ID#: _ S.S.#: 7 13 T. - D.L. DATE BUSINESS WILL COMMENCE IN THE CITY O SOUTH.MlAW!-C I PROPERTY OWNER: �� 1L�I�Tt�\::' PHONE: C�CPiJ'��OD FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMEb.. Nl ;d i C;!�k e_-04_Mtr 1 • MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERSAND MANAGERS:' GROSS FLOOR AREA OF BUSINESS FACILITY: <Q . Q SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FO.R THIS,USE.: DO YOU CURRENTLY HAVE A COVE ANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES 4 NO (IF YES, SUBMIT COPY.OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: YES O NO Y BE A PROFESSIONAL ASSOCIATION: YES ❑ NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) X YES O NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ❑ YES O NO Will Liquor be served? O YES ONO NUMBER OF OUTDOOR SEATINGS: I swear that all the above information is true and correct. . SIGNED tf_ TITLE DATE rip N-M--ri USE:! LICENSE ° "� CLASSIF{CATION: C.U. USE APPROVED BY.' DATE: AW1 TRANSFER LICENSE NO: ip YEAR: PENALTY OUTDOOR SEATING 'SSUE DATE: -1-- 0 3 BY: ITOTAL t SU• SJ ' Sxxlh Mlx ml > �-- CITY OF SOUTH MIAMI F' ° ' ' ° ' OCCUPATIONAL LICENSE APPLICATION `lN . =jti 1 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343 ° Finance Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAM Please Print BUSINESS ,9.5 NAME OF BUSINESS. M �il '�&', (2�C V _J 1�" PHONE: (�J OR APPLICANT NAME: �=1S�L,_1 �-° i f� �/ Fictitious Name/DBA: —rh 1� �" t'I oh NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: _ / // s-1j�/u' error") MAILING ADDRESS: --lo6 � J`P� (D ��'nU ,.. 1"� A Q `61.) i�AMi ,FL ,33 Tax ID#: _ S.S.#: '" v D.L.#ii T '�y ° 7oZ' �3S DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI l y PROPERTY OWNER: FOR TRANSFER LIST PREV-100S VALID LICENSE NO: PRODUCT(S)TO BE"SOLD SERVICE(S)TO BE PE RFORMEC3: _ ej i CDA MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS:. GROSS FLOOR AREA OF BUSINESS FACILITY:, �� SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE.:.. DO YOU CURRENTLY HAVE A COV . ANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: !!!! ➢ JOIN AN EXISTING OFFICE: Name of office: YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: YES ❑ NO REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) YES NO t` ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) YES NO FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ❑ YES ❑ NO Will Liquor be served? ❑ YES L3 NO NUMBER OF OUTDOOR SEATINGS: a 1 swear he nb ?lormarion is true and correct/�.n; i J 11 SIGNED TITLE /" ` DATE , . USE: LICENSE S� CLASS FICATION: ': :. C.U. USE APPROVED BY*!',` DATE: TRANSFER Y::. LICENSE NO: YEAR: PENALTY OUTDOOR SEATING ISSUE DATE: -n BY: TOTAL 5'�. s`c? CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami, FL 33143 Phone: 305 663-6343 a Finance Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print ^r� BUSINESS NAME OF BUSINESS. \ �J PHONE: OR APPLICANT NAME: ��f�(1�� 1 Fictitious Name/DBA: � - n t ^ NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) � 1 t`c�c�1� �1 if�!.'lV��-f-� ��i� �� 1�lic;;l�► , �=L �y BUSINESS ADDRESS: � � _ --- L . iD MAILING ADDRESS: r7C C r ,J3 VO Tax ID#fi: S.S.#: � `/ I C� 771 0. D.L. _: FJ DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI —PHONE: PROPERTY OWNER: I FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: )Gam'' ° } �H.SERVICE(S)TO BE PERFORMED; i CC� MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: �--�. SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR.THIS USE:_ DO YOU CURRENTLY HAVE A COV. ANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES VLNO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: JOIN AN EXISTING OFFICE: Name of office: YES ❑ NO Y BE A PROFESSIONAL ASSOCIATION: YES ❑ NO 9 REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO ji OEM FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ❑ YES ❑ NO Will Liquor be served? ❑ YES ❑ NO NUMBER OF OUTDOOR SEATINGS: n ha I Te a o e information is true and correct.1 swea (-�.Z �- 1 � I Ito 3 LOA SIGNED TITLE �Itc DATE LICENSE USE: C.U. CLASSI ICATION: DATE: TRANSFER USE APPROVED BY: PENALTY LICENSE NO: + O YEAR: OUTDOOR SEATING ISSUE DATE: a " BY: TOTAL 57►' Sanl.h Mi.ml , . 4 ,,. � CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION FL 33143 �+ \ 1 J 6130 Sunset Drive, South Miami, l Phone:(305)663-6343 xooi Finance Department Check one: O NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS - BUSINESS OR APPLICANT NAME: �' PHONE: Fictitious Fictitious Name/DBA: t NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: 7000 ,6-w 6r 9�c�('�/1�(�'(ll�� 4r_ �10 .61) �AI�Iomi FL 3143 MAILING ADDRESS: 1)oo `�� c9nd /1y'6(yV Ajif jl o '6z? ami .. FL 13131q_ Tax ID#: _ S.S.#:_.�.h s. D.L.#:.V' � LOIS DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI PROPERTY OWNER: ([ C.�.l'T� > ��"�'� PHONE:. ,-)0,5 7(4 -c1 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: l Cd L L'5121 ry► ��5 SERVICE(S)TO BE PERFORMED: J"I t 6A l C'A-A! f _ IM Ift _ MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: ry L6 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE:. DO YOU CURRENTLY HAVE A COVE NT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES *NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office: YES ❑ NO • BE A PROFESSIONAL ASSOCIATION: YES ❑ NO (� • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) YES NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO v FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ❑ YES ❑ NO Will Liquor be served? ❑ YES ❑ NO NUMBER OF OUTDOOR BEATINGS: 1 swear that all the above information is true and correct. I SIGNED �F TITLE DATE lQ3 gw iM JUS : LICENSE U SSI FICATION: 117,f/19 C.U. USE APPROVED BY: DATE: TRANSFER LICENSE NO: YEAR: t f PENALTY OUTDOOR SEATING ISSUE DATE: -2 -- 0 3 BY: a07 TOTAL RECEIVED -' CITY OF SOUTH MIAMI JUG ( 2005 OCCUPATIONAL LICENSE APPL ICATION 6130 Sunset Drive,South Miami,FL 33143 FINANCE EPT. Phone:(305)663-6343*Fax.) CR 05-663-6346 ,�ii rx :rri Finance DepaMent Check one: ❑ NEW BUSINESS EXISTING BUSINESS Gl HOME 1USINESS ❑CHANGE OF CH AN77F AME M• � c1• BUSINESS . �,7-t(f1• � ) please Print ` � ,y PHONE: CORPORATION NAME OR APB T NAME:_ BUSINESS ADDRESS: 0o (- MAILING ' h(� r p G of ADDRESS: /� n' E OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) �r 1� I NAM DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: • b L.#: (� f n C� 1 Lv S.S.. .#:_ lll� Tax ID#: "' D S � PHONE: NER: PROPERTY OW FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: / CMG ::A�. SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: SQUARE FEET GROSS FLOOR AREA CF BUSINESS FACILITY: NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: VE A COVEN;�NT,EASEMENT,OR LONG TERM�CONT�(CTONTRACT)FOR OFF-SITE REQUIRED DO YOU CURRENTLY HA W'NO (IF YES,SUBMIT COPY O PARKING FOR THIS USE: 0 YES WILL THIS BUSINESS: or/YES Cl NO 1/► �'-� � In ❑ YES Or NO ➢ JOIN AN EXISTING OFFICE: Name of office: PA YES �NO ➢ BE A PROFESSIONAL.P,SSOCIATION: U YES p/NO ➢ REQUIRE STATE LICENSING: (IF YES,PROVIDE PROOF) rovide proof of sanitation services' ➢ BE LICENSING FEE EXEMPT:(IF YES, applicants must'provide Note:Restaur n ,b rs or night clubs attach health certificate anc liquor ea and all merchants are responsible for renewing All Occupati al ice s xpired on S ember 30 of es Y •�� their license e t a the above information i�s/tq�ru�eC/ad correct DATE TITLE Km ore, ll'�,ICI°\',``' _►l�ueP�!(/ SIGNED ; a^, 1 LICENSE USE: lqV-5I C.U. CLASSIFICATION: � _ D - TRANSFER _ATE: � USE APPROVED BY: PENALTY s YEAR: TOTAL — LICENSE NO: ISSUE DATE: •• •� "" I w CITY OF SOUT IAMI OCCUPATIONAL LICENSE APPLICATION 613,0 Sunset Drive,South Miami,FL 33143 ,7 Phone: (305).663-6343 *Fax 305-663-6346 ...�...,� Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS BUSINESS ��( `� ( j OR APPLICANT NAME: , �fy d`�%✓� PHONE: a�J�,�� ' r -��I BUSINESS ADDRESS: V u�G � 14°� �I Ulm .�a�-<r —�- �'- 2 N MAILING 00 ADDRESS. — NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: 1��V��`1-1 (S 9 A�S.S.,#r: .� D.L.#: 2�� Emergency Contact Person: "0� PHONE:• �" - r, Y /` k PROPERTY OWNER:? PHONE:' VS ` l�Wo RE1,. SED T FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: 0CT 24 SERVICE(S)TO BE PERFORMED: _ Mal C r� CENTRAl- S _-R`CES MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: _ DO YOU CURRENTLY HAVE A COV;PdT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: El YES L1YNo (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: {{}} T p • JOIN AN EXISTING OFFICE: Name of office: ��T ��t�AkFA Er—"'Y'ES' ❑ NO • BE A PROFESSIONAL ASSOCIATION: ❑ YES ❑ NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO ➢ BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restauran bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All ()ccudat i a I Vkc n s xpired on September 30ei of each year and all merchants are responsible for renewing their licen r. s e that 11 the above inforrti�ation�istrtru(ee aann-dd co�rrecct..SIGNED TITLE DATE O.. y «-rt t ai .. iie! 1` FiFICI I+iL]I�srIO �t i r�' 1� F,h'ES r• . J. .JAS 1 USE: i�D) — 1�is 5 C MCdlcr,� ash cc) LICENSE CLASSIFICATION: Q C.U. USE APPROVED BY: w L DATE: t`� 2� �' TRANSFER LICENSE NO: 00 3 YEAR: ISSUE DATE: (�'® BY: 4T TOTAL Q` CITY OF SOUTH MIAMI C E OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive,South Miami,FL 33143 MA 2 0 2007 Phone:(305)663-6343 *Fax 305-663-6346 FINANCE DEPT. Finance Department Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME BUSINESS OR APPLICANT NAME: ( k(2 PHONE:DBA: Q•-� BUSINESS ADDRESS: l MAILING `uVT " l Id � ADDRESS: NAME OF OWN S(PROPRIETOR,RTNERS OR c�RPORA`E OFFICER r " � DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: ' O� .� Tax ID#:�`-I �� /�) S.S.P. �IU��J �lJ ► D.L.# PROPERTY OWNER PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE( NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: ` MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGER<90 --7 GROSS FLOOR AREA OF BUSINESS FACILITY: 31 t_J SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVE T, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: El YES, NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: l �/J ES JOIN AN EXISTING OFFICE: Name of office -�_ �" `t ❑ NO BE A PROFESSIONAL ASSOCIATION: f3rYfS E3 NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROD ) Ef—YES ❑ NO BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES 0`140 Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation ser All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renew their license ea r„h year. I sw�ea that all the above information is true and correct. SIGNED TITLE � DAT ,: :: ;:; - _ _.R ....,r,..,.....:> _.. ::....... .. ....._._ : i ITEMS. OFFICIAL 11SE ONL'f - - - - - USE: TODD DD M V-S Mcd tca F 09w) LICENSE CLASSIFICATION: 03 C.U. USE APPROVED BY: Mhlt— DATE: 3 2'� ID ITRANSFER LICENSE NO: YEAR: f13 hl PENALTY ISSUE DATE: BY' TOTAL RPPvovej as re o�.: o:rio►2 0 CITY OF SOUTH NIIAMI ED OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, So*th Miami,FL 33143 MAR 2 0 2007 Phone:(305)663-6343 *Fax 305-663-6346 �i\ i�aC � DEPT. Finance Department �' Check one: ❑ NEW BUSINESS EXISTING BUSINESS 13 HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print l BUSINE - ' OR CORPORATION NAME k-i— �� ,�`` n VV\ PH0NE.Amwo OR APPLICANT NAME:,�,,�•,� � 1`�1�—! DBA: ^� �l 1 ► �. BUSINESS ADDRESS: 1 --'1► MAILING � �� I C_l Y , ' ADDRESS: --� NAME OF OWNERS PROPRIETOR ARTNER OR-�i;LPO`f� r F�ERS'rA DATE BUSINESS WILL COMMENCE IN THE CITY YOF SOUTH MIAMI: —'l'� Tax ID# `-t' ,I.�i�� . J S.S.# t/Ql J C' l i�, D.L.# PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO'S: ( �� -®� PRODUCT(S)TO BE SOLD: 'l '''[ !vo Iv`� SERVICE (S)TO BE PERFORMED: I V! - c MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGER �q " -- GROSS FLOOR AREA OF BUSINESS FACILITY: ( SQUARE FEET ®� NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: Z� DO YOU CURRENTLY HAVE A COVT,EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE:❑ YES ANO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ICES ❑ NO JOIN AN EXISTING OFFICE: Name of office: BE A PROFESSIONAL ASSOCIATION: U-Y€S ❑ NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE.PROOF) Ut-YES ❑ NO • BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES Quo Note: Restaurants, bars or gexe ch health certificate and Liquor license. All applicants must provide proof of sanitation servi( All Occupatio I Licens o eptember 30th of each year and all merchants are responsible for renewil their licens each y ,r. I a ove infor ation is true' sand correct. °� SIGNE TITLE �� '_)jC.j n DAT ' 1 C ..nom.....y.,.•...,v: ...._.. ...r.-... ,....�• - ,._.,._. ,....,. _.,--._...... . _r�..,..:-t. _....:.- - EMS�;;�;;;< ;;.:: FEES - DFFICIAL ..,,• .r.. a ... :.::. USE: T'D DD V LICENSE CLASSIFICATION: o 3 nA C.U. USE APPROVED BY: MV0 - DATE: 3 TRANSFER LICENSE NO: YEAR: g-3iAk 7 PENALTY 'ISSUE DATE: 7 B TOTAL Fteproq,cd !,s Pv Occ.,yo$'ar d Li ceftee 01 -0 o o 0 I'�! .�• s C „1 1� ��61 CITY OF SOUTH MI.ANU . O OCCUPATIONAL LICENSE APPMCATION 6130 Sunset Drive, South Miami,FL 3314.3 0 %��''✓ Phone: (305)663-6343 *Fax 305-663-6346 Finance ClIppartment Check dne: NEW BUSINESS D EXISTING BUSINESS ❑ HOME BUSINESS 0 CHANGE OF AIMPIFSS la CHANGE NAME J Please Prfnf CORPORATION NAME - BUSINESS -u OR APPLICANT NAME: PHONE: , -BUSINESS ADDRESS: �� 0 fin'e, co MAILINC7 3 f �g ADDRESS: ® � 0 NAME OFF NERS(PROP IETOR,PARTNERS OR CORPORATE OFFICERS) (L t _ DAT.E BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI. e4°H `a6b _ D$ Iqq S.S.9': a W9-do D.L.#, s(oao '065 Tax ID#; PROPERTY OWNER: OLAJ:N '�w-m- FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: RECE PRODUCT(S)TD BE SOLD: NOV 1 3 _ SERVICE(S)TO BE PERFORMED: � � � CE DEPT. _ MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: ( loo o SQUARE FEET NUMF3ER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: _ DO YOU CURRENTLY HAVE A COVEN . T.EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR bFF-SITE REQUIRED PARKING FOR THIS USE: U YES NO (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: t O dSTIt3G OF _GE: a office:_ � N►1�. tH ff 5 0, NO BE A PROFESSIONAL ASSOCIATION: M e NO A REQUIRE ST E LICENSING:(IF YES, PROVIDE PROOF) i,YEESS 0 NO > BE LI SI G FEE EXEMPT:(IF YES, PROVIDE PROOF) Cl YES Q NO Note:Re n ,b rs nig clubs atiach health certificate and liquor license. All applicants must provide proof of sanitation servic All O=u t o al Ic n e p e on September 30"'of each year. All merchants are responsible for renewing Their lice. ` ar h t ou Miami is not required to provide renewal notification. SIGNED TITLE DATE_. 6 -C USE: Top V-S C M-ui cd G LICENSE CLASSIFICATION: C.U. USE APPROVED BY: MVV L- DATE: li 24 0? TRANSFER LICENSI=NO: QjS r 0000 YEAR: PENALTY ISSUE DATE: //"- z Z-0-7 BY: TOTAL �D. snir,y{, CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION +� 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 Finance DeAliartment Check one: NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME pp�� }AI /�� ,n, BUSINESS OR APPLICANT NAME:Tb ok UV i w 1'wr.6N tet V PHONE: L' DBA: //��`` r� A� BUSINESS ADDRESS: UU UW A, E7, �k 3 DC) MI AN ( Et, -3S 1 4 j MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: � '��0 Tax ID#: S.S.#: . v RD D.L.#:A 1+5A PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: R`-Y t AL— 6f)R OF A(S ( MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQ,U/ARE�FEET c {� �� l NUMBER OF PARKING SPACES EXCLUS ELY FORTH Is USE: {A�� V S("lu� CQ e� 'f�+`�0 v u DO YOU CURRENTLY HAVE A COVE NT, EASEMENT LONG TERM LEASE)(CON CT)FOR OFF-SITE REQUIRED G J PARKING FOR THIS USE: ❑ YES NO (IF YES UB keOPY"OF-CON-OF WILL THIS BUSINESS: \` VI ➢ JOIN AN EXISTING OFFICE: Name of offic" . I YES 15ER02 Q ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES ❑ NO C� p�pT. ➢ REQUIRE STATE LICENSING: (IF YES, P OVIDE PROOF) ❑ YES ➢ BE LICENSING FEE EXEMPT: (IF YES, PR VIDE PROOF) ❑ YES O Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Oc t" l ic n es expi re on Se tember 30th of each year. All merchants are responsible for renewing Their ly e City outh Miami is not required ttoprovide renewal notification.SIGNE TITLE DATE OFFICIAL.USE;ONLY ITEMS! FEES USE: -r'OL)D Mv-S - MCgUW 09;ce LICENSE CLASSIFICATION: 03 C.U. USE APPROVED BY: MW L' DATE: 3 '�- od TRANSFER LICENSE NO: 0 0 YEAR: PENALTY ISSUE DATE: BY: TOTAL SD Sc� 03/07x'08 08 3:41ph CC LIC�NaE �u. ,0 jf CITY OF SOUTH MIAMI ` OCCUPATIONAL LICENSE APPLICATION I. = 6'130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 Finance De artment L.i.l Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF N)?E i;.i Please Print CORPORATION NAME `` ,p r BUSINESSUd®C� VIJ,�„�( OR APPLICANT NAME: 1 C..� `� PHONE: M l `►00 l .l BUSINESS ADDRESS: 'J;f_.� MAILING ADDRESS: NAME OF O ,PARTNE RA AE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: CD I� IS.S. #: '1 Tax ID#: •� #: D.L. PHONE o��'F. 9(oq PROPERTY OWNER lJ FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORME MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: ca�� SQUARE FEET Sq NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: - DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES`4 NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢)#JOIN AN EXISTING OFFICE: Name of office: k Q, t ErYVES ❑ NO • BE A PROFESSIONAL ASSOCIATION: ❑ YES U—NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ®-'TES ❑ NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES &--NO Note: Restaurants,bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire on September 30"'of each year. All merchants are responsible for renewing Their lic pn a each ar. T . City Of South Miami is not requir d to provide renewal notification.a-o C SIGNED TITLE DATE -08 x OFFICIALUSEONLY., USE: b DD M V C MeAicd O11'r1te� s LICENSE S 0'50 CLASSIFICATION: 03 C.U. USE APPROVED BY- DATE' ��•n�5 �g 6 TRANSFER LICENSE NO: Q YEAR: Vf'` PENALTY 3-1 6s ISSUE DATE: 2--0? BY- TOTAL 3 J10 � : U�-- 7 �.v— Ica o�� r�✓ t EL.0 CITY OF SOUTH MIAMI F OCCUPATIONAL LICENSE APPLICATION. f r 6130 Sunset Drive, South Miami,FL 33143 }c,x Phone:(305)663-6343 *Fax 305-663-6346 ,ice Depart m �'�' � yvs�ml� 0 3a5 -740-335 kone: ❑ NEW BUSINE S M ISri9G NES ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME lease Print CORPORATION NAME \ N Q��T' A BUSINESS OR APPLICANT NAME: a VY1�. .� AC6 ( Y PHONE: `�8� �O0 ,.. DBA: �oo BUSINESS ADDRESS: ye- MAILING ADDRESS: ?D60 S D (o z A Ve- L NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPO `TE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: 65 Q 12 N2 I S.S.#: 59 3-01 -1 51 D.L.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: �Q 7CL�2 I O (�e- SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: l.� GROSS FLOOR AREA OF BUSINESS FACILITY: _ i,S-© O SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: �© DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: Y JOIN AN EXISTING OFFICE: Name of office: ❑ YES ❑ NO BE A PROFESS IONAL'ASSOC IATION: ❑ YES ❑ NO REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ❑ YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars ht clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All OccupationzQ Teen es a pire on September 30"of each year. All merchants are responsible for renewing Their license eac ear The ity Of South Miami is not required to provide renewal notification. AA SIGNED TITLE /.��`i`i1 DATE T� .z�OD..'; .?�.V..�•?.-.'S r...sL (�Cd1,ca� .. i . , : LICEN,s�.SE USE: CLASSIFICATION. OS C.U. USE APPROVED BY: Mw I— DATE: TRANSFER LICENSE NO: O -V o Y6"+ YEAR: PENALTY ISSUE DATE: �S- "zi 101 BY: TOTAL •Z 0�Z) CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION smr=61. 0 Sunset Drive,South Miami,FL 33143 REC; Phone:(305)663-6343 *Fax 305-663-6346 MAR Finance Department Check one: NEW BUSINESS. ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME o `` o ,/� �, BUSINESS -q OR APPLICANT NAME: r o � 1 ^ fICdiL HONE:O�y^�7`�O G DBA: Q n /�, S034\ BUSINESS ADDRESS: �o y GR� � LI- �`m 3O0 y3 MAILING ADDRESS-700D S10- W rl � '2 �3� I`�G.r y% - 'W `331 y 3 NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: lti Tax ID#: S.S.#: Mc\_ 2> y°l IS D.L.#: Ma`�-310 bR-10y-0 PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: ICJ�-+✓�l h MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: ,S O O SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: o DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office: ❑ YES Off NO • BE A PROFESSIONAL ASSOCIATION: )4 YES ❑ NO • REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ❑ YES a NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES A2 NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire on September,.Wh 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 Oct y�1r �AA9 TITLE DATE USE: 0 bD M U-S �-�I�C� D w� LICENSE CLASSIFICATION: O 3 C.U. USE APPROVED BY: MwL► DATE: 1 1 TRANSFER LICENSE NO: YEAR: d y PENALTY ISSUE DATE: a I BY: _ TOTAL: i _ CITY OF SOUTH MIAMI RECEIVED OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive,South Miami,FL 33143 MAR 19 2009 r Phone:(305)663-6343 *Fax 305-663-6346 FINANCE DEPT. Finance Department Check one: U NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME BUSINES L! OR APPLICANT NAME: UN r �rn u� ` i�^'�-PHONE: �� DBA BUSINESS ADDRESS:-70oo '3 W (oa f� I- Q _� u1� '-V"^► - - 331 13 MAILING ADD ESS7_ NAME OF OWNERS(PROPRIETOR, PA TNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: �� —�- Tax ID#: l0 O-) �1 Q\ s.s.#:��'" ©�-" 6-7 ` \ D.L.#: f`Aa4l�- 4`(30_(oS aOq--O PROPERTY OWNER: S. (`�n C1 PHONE FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: n' SERVICE(S)TO BE PERFORMED: I► 1 � O �"�� MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 1� GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, 11 AIT COPY OF CONTRACT.) WILL THIS BUSINESS: Y JOIN AN EXISTING OFFICE: Name of offic : t)x YES ❑ NO ➢ BE A PROFESSIONAL'ASSOCIATION: ❑ YES ❑ NO • REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ❑ YES ❑ NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire on September 30th of each year. All merchants are responsible for renewing Their license each a The City-Of South Miami is not required to provide renewal notification. SIGNED TITLE L �� DATE y.. .aq- � -' f'e', 1 ,��:[i --',. �t � m� ...a iY'� a, �'�*'Y£`i• .. �: ..' �y '`,& e y��' p rt 5 ''.yjp Fj • Vn"'`v l,� 97kv5'Y.sr%k$x3'` --irl,.�i USE: D DID kAv-5 M-(4c Ave) LICENSE CLASSIFICATION: 03 C.U. USE APPROVED BY: kAWL- DATE: y 01 TRANSFER LICENSE NO: 0600 3 c YEAR: 0-Y ..v PENALTY ISSUE DATE: .Z k Oj BY: TOTAL CITY OF SOUTH 1VIIAlYII- - ;�� OCCUPATIONAL,LICENSE:APPLICATION 6130'Sunset Drive,South-Nfidtrmi,FL 33143 Phone:(305)663-6343 Fax 305-663-6346 Finance Department Check one: R NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Pert OR A PL CANT NAME: fI�D�F•� C/lZ/,l� a PHONE: `30 689- 6 6 76 DBA: BUSINESS ADDRESS: 700 b S°`� 62 '` MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: 2d--6-#03730 S.S.#: 7 71-22 z3,!?�81 D.L.#: PROPERTY OWNER: � �� /� /��1-5-1017-41-PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: '� C/'4�/ MAXIMUM NUMBER OF EMPLOYEES INCLUDING O ERS AND MANAGERS: a GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT,EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFFSITE REQUIRED PARKING FOR THIS USE:❑ YES a NO (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office: L/1F_'K/n � 'y /Nc� ��YES ❑ NO • BE A PROFESSIONAL ASSOCIATION: 4 ❑ YES ❑ NO • REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ❑ YES ❑ NO • BE LICENSING FEE EXEMPT:(IF YES,PROVIDE PROOF) ❑ YES ❑ NO Note:Restaurants,bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses pre on September 30 th of each year. All merchants are responsible for renewing Their license each yea . T ity Of South Miami is not required to provide renewal notification. SIGNED TITLE / .S.t'+��J ' DATE OFFICIAL USE ONLY ITEMS FEES USE: TODD KAu-T NA4Ued (Act LICENSE CLASSIFICATION: 9 C.U. USE APPROVED BY: MwL DATE: 1 Z't III TRANSFER LICENSE NO: © ® YEAR: PENALTY ISSUE DATE: r Z BY: TV TOTAL Cyk RECEIVED l JAN 7 2011 FINANCE DEPT. �, '�� .��.� r IAMI CITY OF SOUTH M OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive South Miami, FL 33143. ->, Phone: (305)663-6343 h��v..��• ,5 i E,(L 200. Finance Department _— Check one: L3 NEW BUSINESS XIST LNG BUSINESS ❑ HOME BUSINESS' ❑CHANGE OF ADDRESS El CHANGE OF NAME Please Print =!. BUSINES �( NAME OF BUSINESS I`J t OR APPLICANT NAM �f?;'�,^t �_��.1'()', 4 .Ix 1. PHONE: Fictitious Name/DBA: NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: MAILING ADDRESS: i�W Tax ID9#:�� 'fiI!„�al 'f�1� SS.#: D.L.#: DATE BUSINESS WILL COMMENCE IN THE CITY OF.SOUTH MIAMI ' PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: d o PRODUCT(S)TO BE SOLD: C' SERVICE (S)TO BE PERFORMED t t c� i' l�� i l i Px - MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS:, GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET dd NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: Y C DO YOU CURRENTLY HAVE A COVE ANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: D YES NO (IF YES, SUBMIT COPY OF CONTRACT.) o WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: —_ DYES ® NO :> BE A PROFESSIONAL ASSOCIATION: YES ® NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) YES ® NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ® YES NO Z ME MAW FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ® YES NO Will Liquor be served? ® YES YNO NUMBER OF OUTDOOR BEATINGS: _ I sweal�< h t all the ab i.1 information is true and correct. SIGNE TITLE��' DATE /Q �1 Z �---- „rssl.''§,..._ Z1 fy d."°I"' •'S.eJ"r SY "S >'tk,�d)<s e.r.:11,rxXFt,X'.9` �.fi; 4•'t ^ +7,9y1 d•SFiIr 't7 .tS. �, ^s?,a1`Y i,.°s' 2$i �^"�` ,S. `'M r ap s.�p;.k 7, .$` a'.`. �j ;#'rr ,+it ? {•5 ,.3.iz,'StC°u x,Y 'f3 zt .{+a p^�;.; t+: `'. Sea ir:y F dim }�xx.�A, n55yY..r. .vsxr 15 USE: LICENSE C.U. CLASSIFICATION: _ USE APPROVED BY: ` DATE: "?' ”U TRANSFER r,tom; `, ?�:},� / YEAR: PENALTY LICENSE NO: _ ,� 4 � OU�DOUR SEATING _ 07/16/2003 15:21 3056664591 A--rr�\f /ILLI-S,0 A—) PAGE 01 CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE .APPLICATION A r(11 041),/yJ) f M a n ,5�7 S'-) -- j},4,��lYr"fj�Al/� m1y" 1q&ew�vT ✓/t/S%7TU��' �, BUSINESS NAME: O 6�� F: O`2 �f� PHONE. as3� BUSINESS ADDRESS: DOD S.cr/ ,�2y,� ri�• '2io� S. /�?i�hrii ,%� 3 3�y3 MAILING ADDRESS: (5all'e DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI 00�C�3 TAX ID#. �•2-�D�y9�5-, S.S. #. D.L. #. NAME OF PROPRIETOR,PARTNERS OR CORPORATE OFFICERS: FANTRGE'N.CY I:ONTACT PERSON: ADDRESS: 70cOa Svr/ 62 AL/9 X21 INI;ft -"-?PlT6NE. PROPERTY OWNER : #erR y �ouir�/ ,c�Ef/�3 C�O�i° PHONE: FOR TRAI`.`SkER LIST PREVIOUS VALID NO. MIA- FRODUCT'S) TO BE SOLD: - SEA ICES)TO BE RENDERED: rr✓d2 C�2� � � GROSS FLDOR AREA OF BUSINESS FACILITY: /2.Oo SQUARE FEET N LAMER 0 PH.RKI NG SPACES EXCLUSIVELY FOR THIS USE NUMBER OF.EMPLOYEES INCLUDING OWNERS AND MANAGERS: Z WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO JOIN AN EMSTING OFFICE (IF YES,PROVIDE PROOF) YES I40 HAVE DOOR TO DOOR SERVICE YES NO— OPERATE FROM A HOME YES NO REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES _ NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH . tALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOk OF'SANITATION SERVICES, I SWEAR THAT ALL THE ABOV INFO TION 15 TRUE AND CORRECT. m SIGNED -: A TITLE RCS(D t�T- DATE c3 D3 OF'F'ICIAL USE ONLY Jai U FEES USE: 0d,� LICENSE CLASSIFICATION: 6 / C. U. USE APPROVED BY: DATE: TRANSFER ACCOUNT NO.:_( 0 � (, SEAR: PENALTY ISSUE DATE: BY: TOTAL `� 07/16/2003 15:21 3056664591 � AL� c / i PAGE 01• CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION BUSINESS NAB: NuM,4 YON ao M.b. 'PHONE: BUSINESS ADDRESS: �o0D s Gr/ �� -�° - 2ro, rn��m�, 33/ 3 .vL�.nvG DRESS: carne • D s_TE BUS-xl SS DIDJWIL.L COMMENCE•IN SOUTH MIAMI � / 03 • TAX ID 3z -�D �1 _S.S. 9: �2�3-7�G�2,2S D.L. #: -Wso VAME,OF PROPRIETOR,PARTNERS OR CORPORA'T'E OFFICERS: F.mmd NCY CONTACT PERSON: G>,2�5T1N/a ADDRESS: �1'�_�J�idll��?n �, S 2/of �tiarfr�,�2 33r4(3 PHONE: 6�_ PROPERTY OVER :�/�z�l��Sou ' 6• �rp ' PHONE: �dOS� 665-c1��0 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: '3'!0n-e- SERVICES)TO BE RENDERED: UARE FEET GROSS FLOOR AREA OF BUSINESS FACILITY: 1200 Q NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 1 WILL THIS BUSINESS: YES NO BE A PROFESSIONAL ASSOCIA'T'ION NO JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOk) YES_-._ NO HAVE DOOR TO DOOR SERVICE OPERATE FROM A HOME YES NO---!L—O . get Q a REQUIRE STATE LICENSING(7 YES,PROVIDE PROOF YES NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES -- RESTAURANT, BAIL OR MGHT CLUB ATTACH'HEALTH CERTIFICATE AND LIQUOR LICENSE, ALL APPLICANTS MUST PROVWE PAOOI:OF'SANITATIAN SERVICES, I SWFAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE {�/ ' DATE 3 OFFICIAL USE ONLY USE: LIC�NSI✓ ?. CLASSIFICATION: i" C. U. USE APPROVED BY: DA.'XE: :�; TRANSFER ACCOUNT NO. �1-4 °' L,11+10 YEAR , PENALTY r AY: r�... I55L DATA /"� TOTAL LFNAJ,�CECITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami FL 33143 DPP V• Phone: (305)663-6343 ' Finance Department _ Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS XCHANGE.OF NAME Please Print NAME OF BUSINESS � (� i BUSINESS OR APPLdCA N T NAME: (�i ,' %'s' rZ�—"ijfii'^ i f% c15 t�9 _ it�1 n f"i!Yi/[ PHONE: �` BUSINESS ADDRESS: (.r(�� C)�1_- — 1/_i, i1 MAILING ADDRESS: ,NAME OF OWN_ PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) Ar +` DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: �/��/ �- �� z ✓ Tax ID#:j-H S.S.#: / D.L.#: j Emergency Contact Person a i-�-—n- m f t`r M P PHONE;�tG'J i PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID,LICENSE NO: PRODUCT(S) TO BE SOLD: SERVICE (S)TO BE PERFORMED: �� MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND F1 GROSS FLOOR AREA OF BUSINESS FACILITY: 2 `J SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: �y DO YOU CURRENTLY HAVE A COVE ANT;EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: El YES UNO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: �IU4 v JOIN AN EXISTING OFFICE: Name of office: ❑ YES NO BE A PROFESSIONAL ASSOCIATION: YES ❑ NO tJ; ➢ REQUIRE STATE LICENSING: (IF YES,.PROVIDE PROOF) YES ® NO r••a BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ® YES ; NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 301"of each year and all merchants are responsible for renewing there license each year. I swear that all the above information is true and correct. s n SIGNED %J`1��- � � TITLE`! DATE _ V t y-i+: '?:r,s' .+Y i ''S` .� .;. :w:,..rs•. -ems �s i.5i,.- n,,.� � ,-„c W:n::'<ij"1..;'r'�;'"',-'wr'i y`t,. `'ti r •'.Ki". t. 1:4{?' ,tf`l'� �j^h S g�} S•'+' ..�Y+xJ � , .Sf tP.�X Y 4r"�u� �� Y'k (4�.SS.{Y7� '�•�5Y' 4 p.t:v f �C t F.., I3'j'S �f�i..h.4: .,.% T,-, .k�2ts• �{ i h u� 5 1v/ t 1 C-'' .5 LICENSE - USE. 1 �f� � r CLASSIFICATION: _ �,_ I i % C.U. USE APPROVEDp Y: "'f DATE: ' / t;1 " ` TRANSFER � LICENSE NO: J 1 1 �1 ? 3 YEAR: U!! PENALTY ISSUE DATE: ej I d t' BY: /'/ y r TOTAL �• CITY OF SOUTH MIAMI ,_. OCCUPATIONAL LICENSE APPLICATION �� k I 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343 "` � Finance DePartment Check one: Q NEW BUSINESS EXISTING BUSINESS Q HOME BUSINESS Q CHANGE OF ADDRESS Q CHANGE OF.NAME Please Print NAME OF BUSINESS � BUSINESS 2 �?��1 OR APPLICANT NAME: ' tayl F_n �t�i�� cc.t 1- t ck�,yrz-- NQ ra*A_PHONE: J�� C�fp?�I 1 4 BUSINESS ADDRESS: U SUS tom' tnCl y°�� Sot+t_ Q MAILING 33i � ADDRESS: C�v� NAME OF OWNERS (PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) N. DATE BUSINESS WILL COMMENCE 114 THE CITY OE SOUTH MIAMI: zt;i C �Lt- t-1 CZ0 . ME It ° y _ 2 Tax ID#: J _D.L. #: f' Emergency Contact Person: �— _ —PHONE: PROPERTY OWNER: �— PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: . J SERVICE (S)TO BE PERFORMED: 42LI MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: F( I GROSS FLOOR AREA OF BUSI14ESS FACILITY: _be ��-I SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: (C DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ® YES NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: � .r2 !�f S' YES ® NO v JOIN AN EXISTING OFFICE: Name of office: ` -T_ 'r BE A PROFESSIONAL ASSOCIATION: AYES ® NO ➢ REQUIRE STATE LICENSING: (11=YES, PROVIDE PROOF) YES ® NO BE LICENSING FEE EXEMPT: (IF=YES, PROVIDE PROOF) ® YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation service;,. All occupational Licenses eiclAre'd on September 34"' of each year and all merchants are responsible for renewing there license each year. I swear that all the above information is true and correct. SIGNED v ��- ✓�i� TITLE�J V fJ C__ DATE I f USE.' /,!�v:c � e� __ LICENSE CLASSIFICATION: �..__ ---- C.U. _ USE APPROVED BY: 0 ! >> > _— DATE TRANSFER LICENSE NO: `.,� YEAR_: PENALTY ISSUE DATE: BY: __ TOTAL .) i f - CITY OF SOUTH I W41 PLICATION OCCUPATIONAL LICENSE AF 6230 Sunset Drive, South Miami,FL 33143 «� ,Q Phone: (305)663-6343 *Fax 305-663-6346 � �°°°` Finance Department Check one: ❑ NEW BUSINESS❑ EXISTING BUSINESS ❑ HOME BUSINESS ACHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS , y-- BUSINESS OR APPLICANT NAME: '7 °� o �' � iLy d? ��_ - PHONE: BUSINESS ADDRESS: ! 1 Q Lt_)_ CQ �D,\) A lSe MAILING ADDRESS: NA ,E OF OWNED(PROPRIETOR,PARTNERS OR CORPO ATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI:_� p r � t, 7 D.L.#: 'z 89S �,�S L-- Tax ID#: - S.S. #: - Emergency Contact Person: ��\ �Cl \ —PHONE: PROPERTY OWNER: 6C) +✓�° � _ --PHONE: ******#**'k*###*#####*****###***#Yr##;t*fir****##*:t**#1t**:F*##***#*#k#**fir**!•k**•k*:F**1•k#****#*******#**:!#*****#*:t1t**k*:t#*R####**##*###****#****#YY****•ki'#'k###** r - -o3 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: -- SERVICE(S)TO BE PERFORMED: _-- MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET' NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS-.USE:_ r DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: > ::JOIN AN EXISTING OFFICE: Name of office: _ ❑ YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES ❑ NO v REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO > BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑. NO Note: Restaur barh Health certificate and liquor license. All applicants must provide proof of sanitation services. All Oc upati,onal n September 30"' of each year and all merchants are responsible for renewing their icense a the above information is true�and correct. SIGNED _TITLE— 'l DATE :s C) bil lAL I�SkE'zOP9L`f,•' ITEMS E'EES_ -- USE: - _N`.V � ;> ? LICENSE CLASSIFICATION: C.U.��_ USE APPROVED BY: DATE:_ �' T TRANSFER r' LICENSE NO: �+•�- YEAR: PENALT_Y__ icci iF nATF• ~`,�� C' BY: TOTAL - s, ,� -- ' m I ta CITY Of SOUTH MIAMI BUILDING DEPARTMENT 11116 1) OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: ,r.� F l B- -�- lw-S e-r M J PHONEA5 &6/"9` 04 BUSINESS ADDRESS: MAILING ADDRESS: DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI - - q TAX ID #5q- f(P4- q/t S.S. #: JM----3Q'Oa6o D.L. #: ANM O OPRIETOR, PARTNERS OR CORPORAT O�ICERS- � (' EMERGENCY CONTACT PERSON 2b h,,t-- A La C`-6 r ADDRESS:( )(`, X-A- u ` , _PHONE t�: •_ I - 1 ?C� �: PROPERTY OWNER- (`{ 8 t�� j PHONE: 'E (.�5'•�•S8o .••• e • 0000 • • • • • • n 00.0 0.00 FOR TRANSFER LIST PREVIOU VALID LICENSE NO. • .. 0000 PRODUCT(S) TO BE SOLD: a 0 SERVICE(S) TO BE RENDERED: e iC gages, .• ;•; •; GROSS FLOOR AREA OF BUSINESS FACILITY: A1706 SQUARE FEET ••0••• NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: • 0000.. NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERI:• •••.•' : : • 0000 0000. 0000 0000 . : WILL THIS BUSINESS: ago**• BE A PROFESSIONAL ASSOCIATION YES ✓ NO JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO HAVE DOOR TO DOOR SERVICE YES NO ✓ OPERATE FROM A HOME YES NO REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES ✓ •NO BE LICENSING FEE EXEMPT (IF YES, PROVIDE PROOF) YES NO—�;' - RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE DATE OFFICIAL USE ONLY U FEES USE: LICENSE CLASSIFICATION: C. U. USE APPROVED BY: DATE: > TRANSFER Q' ACCOUNT NO.: 0 3(e 0'F YEAR: `�`I-d� PENALTY ISSUE DATE: BY: TOTAL CI'T'Y OF SOUTH MIAMI _ OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343Q. Finance Depalrtment Check one: "EF NEW BUSINESS Cl EXISTING BUSINESS O HOME BUSINESS ❑ CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS I� nn s BUSINESS OR APPLICANT NAME: 'Tl�I- i J /�L W C i C PHONE: BUSINESS ADDRESS: ��© S 2- / T o sr a O SO o-;,4 M11- 1 6 3 f y MAILING ADDRESS: SA-n NAME OF OWNERS (PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Fe Z 00Y Tax ID#: S.S. #: Z-(r,L° 3® D.L.#:D YZfl-S C - 0-0 f-o Emergency Contact Person: 9 Gk 4 L1) ��SIC �� PHONE: .3 ° �/� 0 - �qr6 PROPERTY OWNER: IR-f41-T41 S d d z_A PHONE: 30S • +++++++++++++++++++++++++++++++x+,r+++++e++s+f.+n++++*+++++++++++++++rt++w*++++*+++e+++w:tr+++++++a++++++:r++a++++:r++++++++++++w+++x++++++++++c+++++x++i.**+:r■ FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: V,\ PRODUCT(S)TO BE SOLD: �- ,� SERVICE (S) TO BE PERFORMED: h'lC aJc;9-C. ® MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: a GROSS FLOOR AREA OF BUSINESS FACILITY: Da SQUARE FEET .3 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: 0 YES ��NO (IF YES, SUBMIT COPY OF CONTRACT.) ;o , r WILL THIS BUSINESS: JOIN AN EXISTING OFFICE: Name of office: SIL,' , YES ❑ NO > BE A PROFESSIONAL ASSOCIATION: YES Ll NO t� � REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) J9 YES ® NO I ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES -'Sd NO `� v� Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. A A All Occupational Licenses expired) on September 3 01' of each year and all Merchants are responsible for(renewing there license each y ar. I swear that all the above information is true and correct. r- i r SIGNED TITLE�IGUhlz/ DATE 2-'� cn � � � .�. t �'<{t ' <�',r '4t'. �t rt.•fir. in.i'[ 4:�`• '�'�.s saft r�.i.'�°y;Y:.,z r.^, .n: yka af4��-. fe�}.'� <'".•.*::'2' t E:.4;.p:.1a.;�±: YIh' -�.;�.;<,,,,Y..:ar<'; ,.1r F?> Y' . � I•� pS ::Q Ili LLY' i::..�}'.,�4.i�C' {:.ati tY N'..�'Y �+ppc Ta.t'.,t USE: G' iG '''.. " LICENSE %-3 CLASSIFICATION: r 4 ! C.U. Ln USE APPROVED BY: ',1 I,' DATE: v' TRANSFER �A LICENSE NO: ( �)��!� YEAR: u PENALTY i CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION BUSINESS NAMELsay- ata([(zs j rn -0 PHONE: ` '5 ( 7(c 0 BUSINESS ADDRESS: 170 Sw1 Ica Ajeouw- C)0© _ MAILING ADDRESS: miatonII DATE BUSINES L COMMENCE IN SOUTH MIAMI- ?7 GI TAX ID #: _ '-1 3 S.s. #: C� (-t-�� .L. #: C 1 a t 5 7a G NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS: r� occ' sw t o,� �' ie n u)e PHONE: 2!D5 l(D PROPERTY OWNER : _ PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: 1 A� Sv{ n F~ GROSS FLOOR AREA OF BUSINESS FACILITY: —&!E5 r sQUARs SET ~ NUM13ER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: �3 NUMBER OF ENIPLO YEES INCLUDING OWNERS AND MANAGERS.:r , W LL THIS BUSINESS: ASSOCIATION YES ��•�' NO n.^, BE A PROFESSIONAL _ JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO n V HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A HOME YES 0 - P',EQUIRE STATE LICENSING IF YES PROVIDE PROOF YES ;,NO BE LICENSING FEE EYEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR tT , ID C ILI.II✓A>fl;O'VE INFORMATION IS TRUE,AND CORRECT. SIGNED (� � � s TITLE DATE OFFIC' L UmvbraY USE: LICENSE . 2� CLASS ICATION: _ C. U. USE APPROVED B .DATE: r ' TRANSFER ACCOUNT NO.: YEAR: a'cl PENALTY 42 ISSUE DATE: BY: TOTAL �� CITY OF S®UT AMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: R. I�yLC=i�Skl � 1 PHONE: 3a5 - (,Z- J6 30 BUSINESS ADDRESS: -k ov S i,D co 2.'A A'v . S V.., o e ao� '�3 i`i3 MAILING ADDRESS: DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI i 1 c 91� TAX ID #: LCD t S CQyiI� S.S. #: u,t<6S c-,.14 jL: D.L. #: biIZc) (c'1 NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: HIA- EMERGENCY CONTACT PERSON: CZl S i i iy ADDRESS: 1 3.�;- S( PHONE: 3o — PROPERTY OWNER : 4"6-rte r. c,F# PRONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: .()icci 1�:rvi(qy < < SERVICE(S) TO BE RENDERED: mg cc�; 5'z.ryiC"b GROSS FLOOR AREA OF BUSINESS FACILITY: 1 9 0 C) _ _ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: q ' NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO I JOIN AN EXISTING OFFICE (EF YES,PROVIDE PROOF) YES NO- HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A HOME YES . NO REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) . YES ,/ NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROLE OF SANITATION SERVICES. II SWEAR THAT ALL THE ABOVE ORO'iATIION IS TRUE AND CORRECT. SIGNED �7 ,, �r(. %,fit TITLE DATE 11t13-2S' OFFICIAL-USE ONLY-, FEES USE: � `., L% ( ;. ? LICENSE CLASSIFICATION: �' C. U. USE APPROVED BY: /014-. �'�� TRANSFER � .� ) ' DATE: '�� ACCOL`N T NO.: YEAR: PENALTY ISSUE DATE: �� ' BY: � TOTAL { �- CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION C'✓� � BUSINESS NAME: R. b$-GjSKl , V`,1 D PHONE:3°s BUSINESS ADDRESS: S UD G2-11' AVE. S vj MAILING ADDRESS: Sc,rns� DATE BUSINESS DIDAVILL COMMENCE IN SOUTH MIAMI I II cl-� TAXID #: Zc� `6S Cflyqu S.S. #: 2(�1`65CQ`��10 D.L. #: byzo-'j 4 -(o3-01�1 NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: MIA- . ` EMERGENCY CONTACT PERSON: 0Z15T 1 H i\ TLo f�u l mz .• .• ADDRESS: 13 S S ovcV4 i)2,SP� T t�9AuC- PHONE: 30�'(�°1-y�3�-_-•- '••' Cli 2A1, GMLlLes ,�1.- 3 3 3 3 •• •••• PROPERTY OWNER : #l-A..7Xl 0L rH Rr--lam CO2P PHONE: 3of.(CGS I��S(a•••- FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. H 1 A "•"- goo*:,* PRODUCT(S) TO BE SOLD: MQ 6 cCGJ St"i(W •••• .• •; SERVICE(S) TO BE RENDERED: Yv� c c 9 ruim **so:* GROSS FLOOR AREA OF BUSINESS FACILITY: ••SQUARE FEET - NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: ' ...... .... . . NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 1 : ••_• ••;•• WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO !/ JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES ,/ NO HAVE DOOR TO DOOR SERVICE YES NO ✓ OPERATE FROM A HOME YES NO_�� REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO ✓ RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ORMATION IS TRUE AND CORRECT. SIGNED n : ✓ l< " TITL DATE l�'/3- E OFFICIAL USE ONLY FEES USE: LICENSE CLASSIFICATION: C. U. USE APPROVED BY: DATE: l TRANSFER ACCOUNT NO.: YEAR: - PENALTY ISSUE DATE: O BY: TOTAL - � CITY OF SOUTH lvi AhE o, APPLICAnON FOR OCCUPATIONAL LICENSE �! As required by City-Ordinance, I hereby make application for an Occupational License. I understand that this form must be completed an returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASEPRINT Name of � l t , )�t Business 1/3 3!�S- 6 /—a? _ Street address phone: of business: Suite Product(s)to be sold or South Mami,Florida No. 0 ED, service(s)to be rendered: ; , Name of owner . of business: �,.a � �r--�-�,-��_�� Y�� , �business � Tax Social w�Udtd commence: / ID# b � ° Security# _ / Onvets If proprietorship,name of proprietor cur Lertse If partnership,names of partners -. 'j�.- 'Z) if corporation,names of officers: WILL THIS BUSINESS... Be a professional OYES Join an existing office? : S Have door-to-do OYES association? ONO ?or � Operate from a home? AYES Require state licensing? S Require liaettse OYES Be licensing fee exempt? AYES fFyes, ONO transfer? DNO Fib e docum root: Gross floor area of Nurnbec of j business faaTrhr ') � Number�P g eM - exclusively for this use: atdudin owners and management FOR RESTAURANT, Number of Health certificate- OYES Nfil liquor AYES ff liquor is semi, BAR,NIGHT CLUB: seats rovided: attached? ONO be served? ONO attach license Person who will manage the business: S t1C; Y'\Y'\�r� �`;` .� � Address of above person: Name of STREET �r A � � STATE ZP CODE Property F owner OR TRANSFERS, ANSFERS,UST Phone: THE PREVIOUS: Business name: Own Address: /` r I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED, X" ) DATE � i � �. . .�.. .... ... ... FAc=count# % Classification Year �7'Amount .. - � (74 i CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION PHONE&' till- 041 CC BUSINES S NAN -f.1 M BUSINESS ADDRESS: Lv ' A 80/ L -�3 tna- .4 o Alia m ZOL -2VV (9 MAILING ADDRESS: "51 'n02,' DATE BUSINESS Dir)/NvriLL COMN4ENCE IN SOUTH NUAMI TAX ID Ojq- 1(,,(4t54- -s-S. # D.L. 9: TAIL KpROpRfETojz, PARTNERS OR CORPORATE OFFICERS: ,'-" PROPERTY OW NE P HON-E. FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: ALA SERVICE(S) TO BE RENDERED: sQUAREFEET GROSS FLOOR AREA OF BUSINESS FACILITY: NUMBER OF PARKE14G SPACES EXCLUSIVELY FOR THIS USE. NUMBER OF ENIPLOYEES INCLUDING OWNERS AND MAN v WILL TIES BUSINESS: YES NO BE A PROFESSIONAL ASSOCIATION 'NO YES JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO HAVE DOOR TO DOOR SERVICE OPERATE FROM A HOME YES NO REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES. NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO CH HEALTH CERTIFICATE AND LIQUOR LICEN'E T, BAR OR NIGHT CLUB ATTA RESTAURAN ALL APPLICANTS MUST]PROVIDE PROOF OF SANITATION SEWVICES. I SWEAR THAT AL OVE INFORMATION IS TRUE AND CORRECT. V TITLE DATE SIGNED FEES OFFIC L SE OE L'F'YL4 LICENSE E Ae.ev US Y2'. C. U. CLASS ICATION: DATE: USE APPROVED B TRANSFER Y ACCOUNT NO. EAR: PENALTY 71 BY. TOTAL ISSUE DATE: ;OUTH MIAMI BUILDING b"EPARTMENT JONAL LICENSE APPLICATION 7-- es?rl� zf `,G1fZ Ka.n� M, FAMW - - Q PHONE:? ,DDRES S: i U j,7 c°�( � lt-�c otm r f G 3-51q-;3 )DRESS:�EO.& 4324(3 -.Ntam t MSS DIDA ILL COMMENCE IN SOUTH MIAMI TAX ID #59- k6Lfj 54 S.S. 40--01&--0950 D.L. NAME OPRIETOR, PARTNERS OR CORPORATE OFFICERS:J��. i � r EMERGENCY CONTACT PERSON: 66re, A u r- r ADDRESS: PHONE: 6((-�� l �'� � PROPERTY OWNER : PHONE:YS 666-- $�O FOR TRANSFER LIST PREVIOU VALID LICENSE NO. ff A PRODUCT(S) TO BE SOLD: N A _ SERVICE(S) TO BE RENDERED: c a GROSS FLOOR AREA OF BUSINESS FACILITY: � �` SQUARE FEET- NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: a a s u a a o WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION NO, JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF :YES NOJ HAVE DOOR TO DOOR SERVICE NO OPERATE FROM A HOME YES NO_ REQUIRE S'L'ATE LICENSING(IF YES,PROVIDE PROOF) YES NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO v RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PRq.VIDE PROOF OF SANITATION SERVICES. 7ht� p��`�fi�,�fs��; Cleo✓-�, Do-n e-1 yafzKzn kf-v. I SWEAk THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE DATE OFFICIAL USE ONLY U FEES ".� USE: mr_-V6Atl Oro C. LICENSE -71, 6, t� CLASSIFICATION: -r C. U. y� USE APPROVED BY: DATE: '7 TRANSFER ' ACCOUNT NO.: YEAR: PENALTY IcSUE DATE: �J/ -",fz BY: TOTAL CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami,FL 33143 Phone: (305)663-6343 * Fax 305-663-6346 Finance De 2artmen"tt Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS L) HOME BUSINESS HANGE OF ADDRESS ❑ CHANGE OF NAME Please Print BUSINESS CORPORATION NAME -� �f—� �_PHONE: � �/ a�� OR APPLICANT NAME:_ �L' BUSINESS ADDRESS: 26 d1"7V & mss MAILING F4 ADDRESS:_ /'' 6 NAME OF OWNERS(FROPRiETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: � / � Tax ID#: 53 37^3 S.S'.#: 3 2J_3 D.L.#: PROPERTY OWNER: — V �"�'�` '�` ° �- (PHHO/N�E: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: �j�� - � _ n-..;1��s s- PRODUCT(S)TO BE SOLD: �` ` I, 1 SERVICE(S)TO BE PERFORMED: _ 0 �e 0 , ° MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ._ GROSS FLOOR AREA CF FUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: _ DO YOU OR THIS LUSE ❑ YES COVENANT,O EASEMENT, (IF SYESE, SUBMIT COPY OF CONTRACT.) FOR OFF-SITE REQUIRED PARKING d WILL THIS BUSINESS: P NO ➢ JOIN AN EXISTING OFFICE: Name of office:y ��1� �Yf ��r€ ❑ NO BE A PROFESSIONAL.ASSOCIATION: 3—Y 5 9 REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) � 9 BE LICENSING FEE E�<E:i`,4PT: (IF YES, PROVIDE PROOF) ❑ YES Ell NO Note:Restaurants, bars or night clubs atta--h health certificate anc liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire ; n September 30`h of each year and all merchants are responsible for renewing their license each year wear,t at al a above information is true and correct. SIGNED �_!: i TITLE J DATE � * x``�s t�r.4i�j� w•f.aS `'��.,.�?�7r>�iaF6Y:iis��luv��-0Ai: ,?ka�, �� rL LICENSE USE: a C.U. S CLAS I F I CAT I O NL;3•- G TRANSFER USE APPROVED BY � DATE: O: YEAR: PENALTY LICENSE N ? � " - BY: TOTAL _ ISSUE DATE: e: �. City of South Miami 19 8—ml 9 8 r 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Articled , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) ��\Vmti\1A1_C 5) Name of person or persons who will Real name of person manage,- control or direct the 4)Z�� ` ,,>70LP � 33�� business to be transacted in the � City of South Miami : Home address p AA Telephone number _ Fic itious name of person; firm N�7ture of business of corporation (if one is used) 1�ouS� 1p'),rr� u�6abl� Type of merchandise ha-n-aled, or Location of usiness separate license required for each location) \.LQ_ �w\ A� 1-1 La dery ce rendered Telephone number 7) 0 \-,,,4 3� \ �� _ Date- w en bus ness will commence outs case oe City firm located Name of owner of' bu ding in which t y of South Miami , business is located. state the date when bu - -,s9-r - by South Miami ced. ) p �° nj- covered will be commen � -: 4) Tif a firma names of me-mbcr s of firm, 81) If ,Tier chant, 'value of stock cd r d � and if a corporation, names of (defined as cost value of s � � � officers of corporation: hand at close of licensee's fiscal year preceding license period i M — not in business one year, val tsQ of commencement of business) : it I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) i Date_ As 6 . T�-or,. exp anation of connection with business. Ba100-E REV. BL27-84 391it' s s a 6130 Sunset Drive, South Miami, Florida 33143 r"'r APPLICATION FOR OCCUPATIONAL LICENSE S7CD As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an- Occupational License. I understand that this form must be completed and returned before a license may be issued. 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the �� S City of South Miami : Home address Lip 30,-- Telephone number �o / / 2) C 4,001 ' �4 611 .g 1 G� �K �^'� 6) Fictitious name of person, firm Nature of business of corporation (if one is used) add S4,J 4LXH? �l , Type of merchandise handled, or Location of business ,separate license required for each location) Service rendered Telephone number 7) n Date when business will commence 3) �J �/7 ��jp (In case of a parent firm located ame of owner of uildin'g n which// outside the City of South Miami , business is located. state the date when business ' covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, 8) If merchant, value of stock carried r and if a corporation, names of (defined as cost value of stock: on officers of corporation: hand at close of licensee's fiscal year preceding license periods if d V. not in business one year, value as of commencement of business:) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) Signed -- Gate /3 As l/` wi th Title or euplamation of con ction W business. B Z E 00-2 REV.®-Z?-GZ Ci Iy of South Miami 19 8AIM 1987 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and ' returned before a license may be issued. 1 ) 5.) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the' City of.South Miami : Home. address Zip Leo W. Joy Telephone number 2) J.M., Lipton Insurance Ac,�enc In c6) Insurance Agency Fictitious name of person,' firm Nature of business of corporation (if one is used) 7000 S.W. 62nd Ayen e r C-219 . Type of merchandise handled, or Location of business separate license required for each location) Insurance Service rendered 662-2862 ._ Telephone number 7) Date when business will commence 3) Harold Clare (In case of a parent fi rm. 1 ocated Name of owner of buildinq in which outside the City of South Miami , business is located. state the date when business cove ed by coot t+ Fay�:,� �III v..I — vy 1J -" ",an I L cen se will be commenced, ) 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's •fiscal year preceding license period; if Ran a 1 d A r,; jDton , Pr ea not in business one year, value as of commencement of business) : Mar.alial l S Harris, sec- _ J.PCI -Cn] tL�Z, 'T'rr-a s I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) 7 � c Signed l� Date 9Z30,Z86 As Treasurer Title or explanation of �-onner_tion frith business .. BZI00-2 REV, 8-27-82 of South NAIaml 1 6130 Sunset Drive, South Miami, Florida 33143 BC °�- -� APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) kilo 144 e 44 '4y e4, . 5) Name of person or persons who will Real name. of person manage, control or direct the business to be transacted in the City of South Miami : Home address z p ?.3/ 7e elepho,ne number 6) Cosmer Fictitious name of person, firm Nature of business of corporation ( if one is used) ' ®�� : �. '6-2 ° UC-; �, -Mr !PM'�_}Type of merchandise handled, or Location of business separate license .required for each location) 009Me7-e, .o('/."T' Service rendered Telephone number 7) Date when business rill commence 3 ; C�� '� ^�� '��' ( In case of a parent firm located Name of owner of buildinq in which outside the City of South Miami , business is located . state the date when business covered by SOLIth l'iami License will be commenced . ) 4) 1f a -Finn, names of member's of firm, 8) 1f merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee 's fiscal year preceding license period; if not in business one year, value as of commencement of business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed(D Date /® �.� '�, As Title or explanation of connection with business . B Z 1 00-2 REV, oiou cfunsei w_)r. 6oum rk/flami, FL 33143 DATE: f*". 663-6300 FOR YR. NOTICE OF AMOUNT DUE FOR OCCUPY,TIONIAL UCENSE You are hereby notified -L`hat the Municipal Code of the City of South Miami reaukresthe Q of an occu- pational license for the classification and in the amount stated herein, for the period ending: 17 J I C:. E Alccount NUmber D iJ T 1- LICENSE TAX PAYABLE AT OFFICE OF TAX RE COLLECTOR, CITY OF SOUTH MIA1,01, ON OR BEFORE OCTOBER 1 ST,IF NOT-PAID BY OCTOBER 1,A 10%PENALTY Y FORTHE MONTH OF OCTOBER AND A 5% PENALTY FOR EACH MONTH OF DELINQUENCY THEREAFTER WILL BE ADDED, As REQUIRED BY MUNICIPAL CODE OF SOUTH MIAW......... MAKE CHECI(S PAIiKASCE TQ CITY OF-.`$01 F7f(-_55/IIAMI THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE buSiNzss PHUNE: USE:-. PRODUCT(S) TO BE SOLD OR NAME OF PERSON WHO WILL MANAGE, SERVICE(S) TO BE RENDERED: CONTROL OR DIRECT THE BUSINESS: INAME OF OWNER OF BUSINESS: STREET ADDRESS OF ABOVE PERSON: I I CITY, STATE, ZIP CODE: DATE BUSINESS WILL/DID COMMENCE: HOME TELEPHONE OF ABOVE PERSON: PROPRIETORSHIP, NAME OF PROPRIETOR IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PROPERTY OWNER: IF CORPORATION, NAMES OF OFFICERS: PHONE OF PROPERTY OWNER: FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS. . . YESINO NUMBER OF SEATS PROVIDED: IBE A PRCFESSIONA ASSOC.? HEALTH CERTIFICATE ATTACTIED?i iJOTH L-AN EXISTING OFFICE? I WILL LIWOR BE SERVED?* i iHAVE DOOR—TO—DOOR SERVICE? *If liquor is served, attach license 1OPERATE FROM A HOME? I FOR MERCHANTS/WHOLESALERS ONLY: !REQUIRE STATE LICENSING?* I IVALUE OF STOCK CARRIED IN DOLLARS:-] ;REQUIRE LICENSE TRANSFER?* BE LICENSING FEE EXEMPT?* P.ftg IL a P. b—,. it + L.i—&z- .9�.,euaaeeYl If yes,,,. provide documented proof FOR TRANSFERS, LIST THE PREVIOUS: GROSS FLOOR AREA OF BUSINESS NAME: BUSINESS FACILITY: 77� v7-) F 'NUMBER OF PARKING SPACES owNlms: EXCLUSIVELY FOR THIS USE: IMJ IBER OF EMPLOYEES: ADDRESS* 1 HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF KY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A HISREPRESENTATION, OF MATERIAL FACT ARE NULL AND VOID. /J? ;Y " It -i�- vf Z,- SIGNED. TITLE. DATE: 6130 Sunset Cr. SoUth ft�iami, �� 33143 DATE: 663-6300 FOR YR.: cs, y:._.i'::':•r`.+ NOTICE OF AMOUNT DUE FOR OCCUPA T iONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires tihe purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: I.; �. = 'ti-' i-' s . Account Number jl }�, LAk� `}fir` 2 0,0 .� q 1�� it '"' '• ^i ti.r `; LICENSE TAX PAYABLE AT OFFICE OF TAY. COLLECTOR, CITY OF SOUTH MIAMI, ON OR e p i.1 i_r BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER 1.A 10%PENALTY FOR THE MONTH OF OCTOBER , • ,;�•k:t;'•'F- - �-'p,_ AND A 5% PENALTY FOR EACH MONTH OF DELINQUENCY THEREAFTER WILL BE ADDED,AS ` REQUIRED BY MUNICIPAL CODE OF SOUTH I\4AKE CHECKS r4YABCc T'0 CI T''t)F'S6iU 1'H IJIIANiI -' - - - THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE aUSI�*ES gNANY: W%0 WILL q ¢.JE. I` �aF Sp2d .. 1 NAME OL D=; DI D' :iiv � 3��i5-�• 1 Td Be so D .%q, Ol OF 8�3 ? }{1E of qW!ESi STATE, ZIP CGEDE: WILL/010 COI EKGE: XBOVE PERSON, :Jh'TE 6C1$i'ESS HONE TEI.EF'HCatSI� F OF FRbpRI R} OF ROnR OWNER' gRQPRIEI'JFZSkYIk'. SXKE ?ARTtbEI�S ag,IP, H�2riES or I i€ F %ZG�I, ht+iri€E DFFc�ICE�E'a: 47NER, j RHC�tiE OF Pt6P 'TY 0 I• FaR ��` 'T/ f tact MUB all l r !1 r0a ".it t3ai}dESSPS $ER CAF'--5aTS I Y£S 1140 i iP?.L•'i CE'rt'TIF - L;IQ -M BE SZRVS -S �:F I.= W..�-�-- ; �g =, ;. 15, sera�a• DCX'R_TC'^MGR S 4'I * FOR 'TS/WHOL.ES�+LER' C3t�LY: 'ROM .k Yz� >h` iC31�J.F`S` 1 CF 'TE d �I j vkL F S � STMT.- �tE LIC ENSE �5� �.F U c�cza+� row, 17EQC,I _ t �c II EE LICgTF� Ff F .� 1 1. ' ,� .._ M rTt-US: ti t -wSF:hES¢a ' p np INN t,Fhrz ` r - FOR CIS USEt i j tdttW OF -� _'�.- - E -fin R iE". shy K ER r.e �.� ,. .. b T � Chi IY k� Fa t�I !§LSD E�kTI,.� uP 1'.k•""' - y 6 13 Sunse� Cyr. Soi.fl �12rr1 , i3 ids or.TE. x!33 r1010, Fay YR.: 3 3._. r NIOTICE OF AKII'OUNT DUE FOR OCCUPATIONAL LICEh«E E{ You are hereby Notified that the Municipal Code- of the City of South Mtiarni regjires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: f,i;,- �,,, , -,9-- ° 3�C G' HED C.;AL Account;.umber 9t& _0C,4 F - d. i f TIFF k LICENSE TAY PAYABLE AT OFFICE OF TN kC �� e E COLLECTOR, CITY OF SOUTH MIAMI, ON OR Soo C`' BEFORE OCTOBER.S IF NOT PAID BY OCTOBER 0w0 S i _52 ��Fi-1 ��'. � � 1,A10%PENALTY FOR THE MONTH OFOCTOBER sQ'o `itt}�.�d1 Iv �'`.Z+nr 33-1-43 AND A 5% PENALTY FOR EACH MONTH OF DELINQUENCY THEREAFTER k1V ILL BE ADDED, AS REQUIRED BY MUNICIPRL CODE OF SOUTH f 1,/W<E CHECK&PAYAB'LIE TO CITY-OPSOU T-H f HAMI THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE SOUTH MIAMI , FL 33143 Dear Property Occupant ; DOnno /-f h e , M.-D, . Inspection was made at on 1,,2919(o9 7000 S, W. G-1 A(/� OD AP-o in at that time the following violation of the South Miami City Code of pracq1e Ordinances was noted: TD 95 Violation of Section 18-80-1077 LICENSE NO PERSON SHALL ENGAGE IN/MANAGE BUSINESSES - REQUIRED TO BE LICENSED BY CITY WITHOUT 1ST HAVING PD AMT OF LICENSE TAX ORD.NO. 5-91-1470, ANY PERSON ENGAGING IN OR MANAGING ANY BUSINESS WITHOUT FIRST OBTAING A LOCAL OCCUPATIONAL LICENSE SHALL BE SUBJECT TO A FINE OF $300. TD WZT;you 6 _05 a cfocl-or wAou_+ <an oo I ICe P64e NycfSoAl ia Accordingly, the fo 11 owi corrective measures must be taken: YOU MUST CORRECT THIS VIOLATION IMMEDIATELY. YOU ARE HEREBY NOTIFIED TO CORRECT THE ABOVE VIOLATIONS) WITHIN THE TIME LIMIT SPECIFIED. FAILURE TO COMPLY WILL RESULT IN CHARGES BEING FILED AGAINST YOU WITH THE CODE ENFORCEMENT BOARD OF THE CITY OF SOUTH MIAMI , FLORIDA. STATUTE 162 . 09 AUTHORIZED THAT REPEATED VIOLATIONS COULD RESULT IN AN ASSESMENT OF A FINE OF UP TO $250.00 A DAY, WITHOUT HEARING, FOR EACH TIME THE VIOLATION IS REPEATE 0 Co e Enforc m n f icer �orye- Z l� /- 775 -=---------- G.�e�;"•` G � i E I_. 33143. u�=,I�. ;� .�^_.- i 3d Sunset Gtr. Sou�h G iial�i, FOR YI � �-. � G��16 663- I\,GTICE OF ('KAOUI�!T DIME FOR OCCUPATIONAL LICENSE urdnase of art aaeu / y of the City a; Sauth I��Fiani requires i _ p � _` -® l'ou are hereby notified that the NA Code a �'ccounil�u;ncer and far the classification and in the an�aunt stated herein, for t.. c '2 pational license �%i -lete LICENSE TP,X PAYABLE AT OFFICE OF TfY. COLLECTOR, CITY OF SOUTH IJ�I!•,fy T OR BEFORE OCTOBER 1 ST.IF NOT PFdD BY -,,T B=R _ °y i FOP,THE iJiOIJTH OF OC _ 1 A109/0 PENF.LTY FOR EF,CH NTH OF F i° 'rf JLI'.S �•� �" NND A 5% PENALTI 14111-BE ADDED.AS :a G_ "i�"'�� c-,-:� �'� ;F DGLINGlUENCY THEREAFTER OF SOU �..,'.'1 C.--e -'' n -7 / :.�.�t.t '.t E.:.. .�5..�. c Y iJ,.UNICiPAL CORE TH {,.'� o'Yer`a J n .� ,..c/ r - REQUIRED B . � _ {JuAlrl t '.Y �t�1?a :..�:. - - ;: - - I AI KE CHECKS F/,Y�BLt TU CITI''OF SUU T N IJiIF fJil - THIS LICEIJSE fv1USl"BE DISPLAYED 1111 1 A CONSPICUOUS PLACE — Hnll/did commence. Drivers r Security# License# -5�, �[/- �/- -?? 'J 7 ` If proprietorship,name of proprietor c- if partnership,names of partners ' ; �� G if corporation,names of officers: WILL THIS BUSINESS... Be a professional DYES Join an existing office? DYES Have door-to-door DYES Operate from a home? ES association? X10 ,RNO service? QN0 Require state licensing? ,OYES Require license DYES Be licensing fee exempt? DYES It yes, DNO transfer? ❑NO MNO ,mvic:e Uocumen!e:' roof. Number of Gross floor area of Number of parking spaces employees: __---- business facility,. exclusively for this use: inc,ud;ng cwners and man emPnt FOR RESTAURANT, Number of Health certificate DYES Will liquor Ci r'ES Eamj�dc�i�iyt:�r is served, BAR,NIGHTCLUB: seats provided: attached? DNO be served? . -DNO licens e. Person who will manage the business: `�JL;n n f - 1 �f' Phone: �� l Address of above person:�. � srAn: nFcrxUE Name of property owner f Ll-_O D ��r.�if�`P %`?/� ? Phone:c FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners' Address: 1 hereby c ify that the above information is true and correct,to the best of my knowledge and belief. I als derstand that license -obtained on a misrepresentation of material fact are null and void. 1111/c SIGNED: -�r TITLE: DATE: '�f `` �` } � . 7. - - -Ar " .�%' F � Account# � � / Classification Year. / Amount: y C/U Fee Transfer Penal Amount Use: �1 I CrA, -L- sib I C C:- w 1, ti' .v JO ^7wi'JilS?i Dr. �Otltfl i��1_ DAT_ 7I ` T -6.1-S3GCi OR I a .S IN OT C' Q:' ;.�ij'0�'�I�jT DUE: ©IZ�1�rU r„ 'v! .. .._ J_ You ars it i"ailV no[Ifsed that the iv1ur,Jck:E,] Code of the City of SGUti7 =o_`:_s the pllrchl pational IICerEB for t -e Classi6cat,Jo J and l ; 'the aiilcunt Stated herein., fc - , :"IGI.i .,':Cling: _y) ,} - �:.� ,J'�':__:.�.�;_? 3 it 19 9 S, 7E�i,�y-i CE j Account;Jurc r 1 j 5201 j 9 I � t , _ LICENSE TAX PAYABLE AT OFFICE OF TAX .;J C�3`�a.Y`aE_7z � PET il' .C�.� t.3 �� .�;.a HD o PA m COLLECTOR, CITY OF SOUTH MIAMI, ON OR:, f;.,y„ .� _ y_� � rK" 4 22—) BEFORE OCTOBER 1ST IF'�IGT°;�,ID BY OCTOBER f 0 L 0 S'�j T)2 =�'7 E v �'�'-•-� � 1,A 10%PENALTY FC9 THE MONTH of OCTOBER 1® 15:;i _ 7 �.k J a w AND A 5% PE`IALTY FOR EACH MONTH OF DELINQUENCY THEREAFTER NAL.L BE ADDED, AS REQUIRED BY MUNICIPAL CODE OF SOUTH JMAKE CHECI<S Pit`ABLE TO CITY'O F S'GUT i`vi1, diII THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE --- i1NE 33 Friona: —�__Il °s ^' F .:� •� ?,4 r� ! �� --- ---- PRODUCT(S) TO BE SOLD OR NAME OF PERSON WHO WILL MANAGE, -� SERVICE(S) TO BE RENDERED: CONTROL OR DIRECT THE BUSINESS: .? f� NAME OF OWNER OF BUSINESS: STREET ADDRESS OF ABOVE PERSON: I CITY, STATE, ZIP CODE: DATE BUSINESS WILL/DID COMMENCE: - , CY HOME TELEPHONE OF ABOVE PERSON: PROPRIETORSHIP, NAME OF PROPRIETOR IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PROPERTY OWNER: IF CORPORATION, NAMES OF OFFICERS: PHONE OF PROPERTY OWNER: FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS. . . YESINO NUMBER,OF SEATS PROVIDED: ' BE A PROFESSIONAL ASSOC.? HE„srmat CF?TIFICzTE TTACH-t:? mI►a AN E)'_IS'"ING OFFICE? I WT r LTQt}no ag cop!+Lc^'>t / HAVE DOOR-TO-DOOR SERVICE? *If liquor is ',seryed, attach license /, OPERATE FROM A HOME? 7. FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE STATE LICENSING?* I I ',:'� VALUE OF .STOCK CARRIED IN DOLLARS: ;REQUIRE LICENSE TRANSFER?* /1 I :welu.e�u�ee.e nt'..et.ceea on n.w.e�,...of liem�.r••ti.CU yw BE LICENSING FEE EXEMPT?* of ewe er euaie�. � * If yes, provide -documented proof \ �' FOR TRANSFERS,. LIST;THE PREVIOUS: I GROSS FLOOR AREA OF BUSINESS NAME: BUSINESS FACILITY: .;; �.a N � crk1d jJ S* •�1 'NUMBER OF PARKING SPACES �,1,% OWNERS: i nv� 'EXCLUSIVELY FOR THIS USE: FNU14BER OF EMPLOYEES: jr/f; ADDRESS: I HEREBY CERTIFY THAT THE ABavE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A MISREPRESENTATION$OF MATERIAL FACT ARE NULL AND VOID. r;ice SIGNFD: - TZTI.F n��ra. CITY OF SOUTH MIAMI �-- 4j;'=` "• OCCUPATIONAL LICENSE APPLICATION ( 3 :.- 6130 Sunset Drive, South Miami,FL 33143 Phone: (305)663-6343 *Fax 305-663-6346 =inance Department heck one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS CHANGE OF ADDRESS ❑ CHANGE OFNAME Please Print CORPORATION NAME `� BUSINESS- OR APPLICANT NAME• ,V V" ` r" 1 C L i PHONE. �5 77-2, ¢3 DBA: BUSINESS ADDRESS: t-'G-J (3 to MAILING ADDRESS: l l( �L-o NAME OF OW/j�IERS(PROPRIETOR,PART RS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: Q S.S.#: a�✓/ 7 7' D.L.#: PROPERTY OWNER: �+ PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: p�j UEj f 7 PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: CQ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: C�C DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ❑ YES A NO ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES 4 NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) 0 YES ❑ NO >. BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES f4' NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 301h of each year and all merchants are responsible for renewing their license each year.,I swear that all the above information is true and correct. SIGNED / TITLE K � DATE f i / °� f. OFFICIAL USE ONLY ITEMS FEES USE. °C'€i M- ( ivi I LICENSE CLASSIFICATION: (Y`7', i - C.U. 47,Opp USE APPROVED BY: d DATE: '�;!� � TRANSFER LICENSE NO: � ! YEAR: �<�0 PENALTY ISSUE DATE: -° BY: 6 TOTAL I1LL-1./i vv J - ... •-- 1-ddb ?002/004 F-921 s3 o „rej CITY OF soum MLOU x: OCUPA, ONAi,LICENSE x321t ZA ..; r. . 6130 Sunscbrive,South Miem;,FL 33143 Phone;(305)663-6343"Fax 30S•663.6346 � Finance De went Oh"k one: d NEW SU81NGSS ;E(EXISTING BUSINESS O HOME auSfNESS 0 CHANGE OF AODRESS Pifas"Pilnf S C3 CHANGE OF NAME CORPORATION NAME OR APPLICANT NAME: BUSINESS DBA; r-� PHONE: �J D BUSINESS AbDRESS: l D o f MAILING �` ADDRES3; E OF pWNERS(PROPRIETpR,PARTNER$OR CO ORAT FI ERS 1�R1 OED af, �jI ./Y1C 'Zf H-o►� DATE BUSINESS VYII,L C4MtUlENCE IN THE CITY OF SOU7t-I MIAM9l: Tax 1D#; S.S,#; PROPERTY OWNER., -�"��4 U� O.L.#; ; FOR TRANSFER LIST PREVIOUS VALID LICENsI:NO: PHONE PRODUCT"(S)TO SE SOLD: Na SERVICE(S)TO eE PERFORMED: Sert Vic MAXIMUM NUMBEiR OF EMPLOYEES INCLUOINO OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: Z NUMBEf2 OF PARKrNG SPACES EXCLUSIVELY FoR'��,. SQUARE FEET S usf;; 00 YOU CURRENTLY HAVE A COVENANT, 18EMENT, OR LONG TERM L EASE(CONTRACT}FOR OFF-SI7E RE PA RKrNG FOR THIS USE; Q YES p No (IF YES, SUAMrT COPY OF CONTRA WILL 7Fi15 BUSlAIE38: CT.) QUIRED ' JOIN AN EXISTING OFFICE: Namo of ofttce: �/Q A BE A PROFESSIONAL,ASSOCIATION: `�� Q YES ❑ NO �� REQUIRE STATE UGENSING. QF YES,PRpV1DE ) �� Q YES I] NO 1 13E LICENSING FEE EXEMPT;(IF YES,PROVIDE;PROOF) 0�/C� YE ❑ NO Note:Restaurants,bars or night Clubs attach heahh oertlRc:eta and 11 u0r Aoense. qll a plianttA SESovid O NO q A P proof of sanl1860n Services. All IrJIC pat;onai t.IGenses expire on September 30th of each year, All merchants are responSfble for Their License a eor, a CI O€Slut lamf Is riot re q / Q to provf a nerve 1 notfficatfon. renewring SIGNED TJTt E oATE U 1 USE: '0DD U_s I J.J Q ce� CLASSIFICATION: O 3 LICENSE 31 �c� USEAPPROv;Ep By C.U, v''� DATE: 4 2S o$ TRANSFER LICENSE NO: ( - 100 �� ISSUE DATE; � �,�_Ct YEAR; �c T �` TOTAL �.a i f CITY OF SOUTH MIAMI n OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami, FL 33143. Phone: (305) 663-6343 1 lout Finance Department Check one: NEW BUSINESS^ 0 EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print �\ NAME OF BUSINESS i ,.L,?�� y� I 5 n:BUSINESS Q ,.., OR APPLICANT NAME: t :! .1'�_' - "' C. -! �{', C-i PHONE: %� � � �. jj ll {� "r irTi•l � � �� f Fictitious Name/DBA: ,�G-�i'Ii� 7 �-�f J' ''�>��/!(��t�i9.� C- `•{'1'"3,(Z:-' t, ME.OF OWN FRS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) 4 Opt BUSINESS ADDRESS: °=- '% MAILING ADDRESS:--__ � f� f+ "� ,a. s —0 �dl�t�i�l , — Tax ID#! iJ � / & �J S.S.#: D.L.#:. DATE BUSir`JESS WILL COMMENCE IN THE CITY OF SOUTh .MIAMI PROPERTY OWNER: �, PHONE: . FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: — PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED.- MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS;. � GROSS FLOOR AREA OF BUSINESS FACILITY: . SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COUNT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: U YES ANO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: �> JOIN AN EXISTING OFFICE: Name of office: j✓ "��1 o h 1 L b'AYES ® NO BE A PROFESSIONAL ASSOCIATION: YES ® NO 9 REQUIRE STATE LICENSING: (!F YES, PROVIDE PROOF) tg YES ® NO BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ® YES NO I IBM= a FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? L3 YES O Will Liquor be served? ® YES O NUMBER OF OUTDOOR BEATINGS: I swear tha` o above haformafaon is true and correct. SIGNED / J TITLE , _ PJ1 I _C DATE §- fN rlr" z ..a: � vM ,..".,#�' USE: M/2 C Cam" - G ----- - --- LICENSE C ,� CLASSIFICATION: C.U. USE APPROVED BY: _ DATE: 10 21 / � TRANSFER LICENSE NO: 1)�I.A 4 #° YEAR: ? EIE PENALTY 1 ?� � TDOOR SEATING ISSUE DATE: %f1 ti %+ "� - BY:—} _ _ _ AL L`•,; SOUTH MIAMI ,JSINESS TAX RECEIPT _nset Drive, South Miami,FL 33143 (305)663-6343 * Fax 305-663-6346 �! hra ,NESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME NAME BUSINESS ,ANT NAME: � P, IF— t-ke_1 PHONE: BUSINESS ADDRESS: TIC)o o (0 � ;° �� ki A tn I MAILING e ADDRESS: � � NAME OF OWNERS(PROPRIETOR, P TpNEARS OR CORPORATE OFpF`�hCERS) gy�� .0 C d l DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI:° F® x Tax ID#: o B'N' 12 �TS, S.S.#: G� -�? t I D.L.#: PROPERTY OWNER: n 0 N raw PHONE: 'FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: ` SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVEN,ANT;EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: El YES " d'NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office:( U TES ❑ O ➢ BE A PROFESSIONAL ASSOCIATION: El S ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Local Business Tax Receipt expire on September 30`" of each year. All merchants are responsible for renewing Their license each ye r. T e City Of uth Miami is not required to provide renewal notification.` SIGNED TITLE �� .� DATE FFI AL U$E�/O;N ITEMS FEES USE: FODD mu-57 ieav LICENSE CLASSIFICATION: O; C.U. USE APPROVED BY: DATE: w TRANSFER / t � 1 S�- YEARN __"�,E NfALTY LICENSE NO - ISSUE DATE: �' '" BY: :•r,r 4 TOTAL A o t a8 UL L tw`o ' f L - �� 01/27/2009 08: 29 3056636346 PAGE 01 CITY OF SOUTH MIAMI c C+ LOCAL BUSINESS TAX RECEIPT ;-„ 6130 Sunset Drive, South Miami,FL 33143 Phone:(305)6Q-6343 •Fax 3 5.663 6346 Finance Department I Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ,0 CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME y USINESS OR APPLICANT E: HONE: c14_ BUSINESS ADDRESS: GL�' e l� MAILING ADDR SS: q000 Jti f NA OF Q ERs(PFVPRIEirOR,?4R:.PNE0 OR COAPAWATE OFF CARS) rF� DATE BUSINBS WILL CO�MME CE IN THE CI OF SOUTH MIAMI: Tax ID#: l,9/ S.S. PROPERTY OWNER: y� PHONE: FOR TRANSFER LIST PREVIOUS VALID LICEN}fS�E�NO: � PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED; �- MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: �[f GROSS FLOOR AREA OF BUSINESS FACILITY: n TTT """ JJJ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 00 YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES 0 NO (IF YES, SUBMIT COPY OF CONTRACT.) i WILL THIS BUSINESS: / . v�vu 1 D JOIN AN EXISTING OFFICE: Name of office: � L-"� ES O NO BE A PROFESSIONAL ASSOCIATION: YES ❑ NO > REQUIRE STATE LICENSING: (IF YES, PF^NVi/IDE PROOF) 9k YES ❑ NO > BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) YES ❑ NO Note: Restaurants,bars or night clubs attach health certificate and liquor license. All appiicants must provide proof of sanitation services. All Local Business Tax Receipt expire on September 30`"of each year. All merchants are responsible f r renewing Their license each year. The City Of South Miami is not require provides newal atlfication. fla SIGNED TITLE ATE USE: _F'M V-5 I `J �r LICENSE /• a�� CLASSIFICATION: O�' C.U. USE APPROVED B/Y: "�t— DATE: 0a TRANSFER LICENSE NO: UGI YEAR: % PENALTY ISSUE DATE: V l BY: TOTAL � �0/ � ��3 T' Nv a CITY OF SOUTH MIAMI [ � s OCCUPATIONAL LICENSE APPLICATIONS" 6130 Sunset Drive,South Miami,FL 33143 _ Phone:(305)663-6343 *Fax 305-663-6346 .- Finance Department � d � � Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINES OF ADDRESS ❑ CHANGE OF NAME, Please Print - ----_"--"- CORPORATION NAME '' L BUSINESS OR APPLICANT NAME: 1` �7 C -_ MD PHONE: S05—LOC12 _ 6t"')GO DBA: j f BUSINESS ADDRESS: Cam' S V\I� LO Z ��Pl A-Vl:f, MAILING ADDRESS: ---'� 1 NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: A Pr I l 15 2C)0 j Tax ID#: - �I=� �U S.S. #: D.L.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VApLIDn LICENSE NO: ® � c /p o PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: I 1 2-0 0 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 20 DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office � ��'�`QI(?u rC � P,� ❑ YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION. El YES L3 NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) El YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire on September 301h 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: �I l y� I >/ V TITLE Ci��CP I� �.. .f DATE Z�v Q=" . ' xa OFFICIAL'?USE ONLY , ° x s , . _ ITEMS FEES, USE: –row) mU-5 LICENSE CLASSIFICATION: ® S C.U. USE APPROVED BY: MVr'L DATE: (® ®q TRANSFER LICENSE NO: 0q-0noo YEAR: PENALTY ISSUE DATE: BY TOTAL u C�< CITY OF SOUTH MIAMI ---� LOCAL BUSINESS TAX RECEIPT 6l30 Sunset Drive, South Miami, FL33l43 Phone: (305)663 6349 *Fax 3Oj 663'6346 F�7_!,�Ej RgdeuveD Finance Department n s' Check one: 0 NEW BUSINESS 0,/EXISTING BUSINESS 0 HOME BUSINESS Q CHANGE OF ADDRESS 0 CHANGE JF NAME� Please Print CORPORATION NAME BUSINESS OR APPLICANT NAME: PHONE: ` DBA: BUSINESS ADDRESS: / MAILING ADDRESS NAME OF OWNERS(PROPRIETOR, DATE BUSIN ESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: PROPERTY OWNER: 0 PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: '2-) A SQUARE-FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE ACOVENA . EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: [3 YES O\N�] (IF YES, SUBMIT COPY OFCONTRACTj » WILL THIS BUSINESS: O NO > BE A PRDFEG8|ONALAG�OC|ATON: ' � — —---- . ' / �O S U�'N(} > REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) � ` '~ -- � -- 44ES O NO > BE LICENSING FEE EXEMPT: (|F YES' PROVIDE PROOF) [J YES Q'1NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Local Business Tax Receipt expire on September 301h of each year. All merchants are responsible for renewing Their 'ic h y r. The City Of South Miami is not required to provide renewal notification. OFFIbIAL�-6&ONLY ITEMS. FEES CLASSIFICATION: 0?) C.U. LICENSE NO: 02-0000 YEAR: oyzef PENALTY ISSUE DATE: BY: TOTAL 7. -c90 OCCUPATION vj `j n 1v11AMI l AL LICENSE APPLICA1OYir 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 * Fax 305-663-6346 Finance Department Check one: ❑ NEW BUSINESS CI EXISTING BUSINESS ❑ HOME BUSINESS', Please Print E__"` ❑CHANGE°OF.AD_DRESs-v ❑ CHANGE CORPORATION NAME OR APPLICANT NAME: ; D C OF NA DBA: �ICKc�� , BUSINESS PHONE: 3 0—F BUSINESS ADDRESS: 7 p p p MAILING �� v S 4172 ADDRESS: NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH Tax ID#. S�'7 a 7V 3/ MIAMI: PROPERTY OWNER: D.L.#: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PHONE: �q Qp t PRODUCT(S)TO BE SOLD: �L°Gf� ( v ^®�00 SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNER SAND MANAGERS: ' GROSS FLOOR AREA OF BUSINESS FACILITY: NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: SQUARE FEET DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM PARKING FOR THIS USE: ❑ YES ❑ LEASE(CONTRACT)FOR OFF-SITE NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: TE REQUIRED JOIN AN EXISTING OFFICE: Name °of BE A PROFESSIONAL ASSOCIATION.office: REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Cl YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. NO ❑ YES ❑ NO All Occupational Licenses expire on September 30tH se All applicants must provide proof of sanitation servici Their license each year. a City each ear. ty Of.South Miami is not required to provide renewal notification. Y All merchants are responsible for renewing SIGNED Miami c�> ��Cz �^try USE. ':>OFFICIAL USEC7NLY t 3g DATE - c2�_ o �©®O CLASSIFICATION: FEES ; � LICENSE USEAPPROVED BY: U. LICENSE LICENSE NO: DATE: _ /®a,� _ 09 TRANSFER � ISSUE DATE: � �� ®•C�� ' • `�' � �'� BY: - PENALTY �.,. TOTAL j ae 9 60 c�urnjq 0 TOZ��.... 0 0/8 Z/L 'IO — ITVIN HS�Llo� /� .R - . �� - ,, OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive. South Miami, FL 33143 Phone: (305)663-6343 11 Fax 305-663-0346 Check one: D NEW BUSINESS EXISTING BUSINESS Q HOME BUSINESS U CHANGE OF ADDRESS Ej CHAIh3E CI-NAI`4` Please Print / , OR APPLICANT NAME: �nf `�' �j� _ _PHONE BUSINESS UJ�� DBA: BUSINESS ADDRESS: MAILING ADDRESS: r _....— — ------------ NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS*ILL COMMENCE IN THE CITY OF SOUTH MIAMI: Y__-- -- Q Tax ID#: / ' A° S.S.#:9 ` "7 D.L.#: PROPERTY OWNER: --- �L�I`��m `Zr`yl PHONE: 3t le FOR TRANSFER LIST PREVIOUS VALID LICENSEE/NO: 1A,1/�_ PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: '7� MAXIMUM NUMBER OF�'LMPLOYEES INCLUDING OWNERS AND MANAGERS: `tom GROSS FLO.D t A bF BUSINESS FACILITY: IJARE FEET NU:MSFR¢ F`PAR�KKN� PACES EXCLUSIVELY FOR THIS USE: D)1'OU %TLYFHAV-EA COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) F t OFF-SITE REQUIRED PARtING O THi:tiiUS_:D YES T O (IF YES, SUBMIT-COPY OF CONTRACT.) �\/\ f WILL T,Ii,�IS�.B'US 1 ESS: r JOIN AN EXISTING OFFICE: Name of office: ,t��j� � - '"1 RYES NO 4 BE A PROFESSIONAL ASSOCIATION: L3 YES h10 r k REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) Ij�YES Lj N0 Y BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) Ll YES 'jr�t NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire on September 301h of each year. All merchants are responsible for renewing Their license each year. Th r f South K mi is not required to provide renewal notification. SIGNED / TITL DATE ! . F DFFIC1A613SE ONLY' I TEM S?= FEES USE: TOO- W-57 g ev- 646emik®.,,.).. LICENSE CLASSIFICATION: 0a C.U. USE APPROVED BY: MWL-- DATE: 3 6 TRANSFER LICENSE NO: 07-�0 7 YEAR: �O PENALTY ISSUE DATE: li BY: TOTAL �� ' I 4-111 _ ,SOVT$N AMI -.*OrgAL LIUN'SE AppLZCATION .a30$unaetDrive,South Miami,FL 33143 1 Phone:(305)663-6343 '*Fex 305.663-6346 e-K one: ❑ NEW BUSINESS Q EXISTING BUSINESS C3 HOME BUSINESS. GHANGE OF,AWRESS O CHANGE OP NAME Please Print CORPORATION NAME s.��` i�F O r� BUSINES OR APPLICANT NAME: Yl �C� __ PHON5= �O�_�Q�3O 1J �b0C--j 1,1�IycKA- T&\4 BUSINESS ADDRESS: MAILING ADDRESS: q'OU° �t- NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID 9: (C72� g� S.S.#' i D.L.�: G PROPERTYOWNER: OCa 14b-SCt A b OjJ_ y- PHONE: FORTRANSFER LIST PREVIOUS VALID LICENSE NO: { ��"�0!4-5 PRODUCT(S)70 BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMS,R OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY:- SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY PORTIA IS USE, Qo DO YOU CURRENTLY HAVE A COVEN ,EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE.:1] YES ��"NO (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS; JOIN AN EXISTING OFFIQE', Nerve of of iica: ❑ YES R NO D BE A PROFESSIONAL ASSOCIATION; O YES aK NO Y REQUIRE STATE.LICENSING:(1F YES,PROVIDE PROOF) ❑ YES ID"NO. Y BE LICENSING FEE EXEMPT;(IF YES.PROVIDE PROOF) Q YES U"NO Nate;Restaurants,bars or night olubs attach health certlflo;te did liquor.tican6S, Ail applican&,must provide Proof of sar,!`3tion setvIo6a. All Occupational Licenser expiry on Soptember 30"'of each ye er. All merchants ar0 r"ponsible for renewing Their Ilcense ea h year.,They City Of South Miami Is not required to provide renewal notification. E L S� RATE�- v USE: B 01)' U-S 1. D1i� �I•�1 age �+rQref.aQ� LICENSE CLASSMIGATION: d3 ` C.U. USE APPROVKD BY.' DATE: �O 6�' TRANSFER -P. LICENSE NO: ©� 06vQ7 �� YEAR! )3f) PENALTY ISSUE DATE: p BY. TOTAL O� (< Y OF- SW_"'TB MIA ( /~^ .�� .%�'..�� K�K�K�� E��m��v� � 6lSO Sunset D,ivv �oudb��iunni FL 33143 , . Pbon�� (3O5>�63 6�4] * Fun�05'�63'O]46 � .7:� Finance Department Check one: SrooNEW BUSINESS El EXISTING BUSINESS EI HOME BUSINESS 0 CHANGE OF ADDRESS 0 CHANGE OF NAME Please Print __� ' CORPORATION NAME 8 ORAPPL|CA NTNxME: y PHONE: 3� 'IR-14 � oBA t'j BUSINESS ADDRESS: 0 MAILING —' ADDRESS: `vu ~ NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) � DATE BUSINESS WILL COMMENCE IN THE CITY oF SOUTH MIAMI: GROSS PROPERTY OWNER: o_o PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S TO BE SOLD: SERVICE(S)TO BE PERFORMED: lz!"r4 I-s MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGE S FLOOR '-- BUSINESS . . �-~~~ NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(Q]NTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: 0 YES �INO (IF YES, SUBMIT COPY OFCOwTR^CT.) . WILL THIS BUSINESS: > JOIN AN EXISTING OFFICE: Name ofoffice: 4 YES O NO > BEA PROFESSIONAL ASSOCIATION� O YES [] NO > %eEQU|RE STATE LICENSING: (IF YES, PROVIDE PROOF) 0 YES O NO > BE LICENSING FEE EXEMPT: (IF YES,PROVIDE PROOF) 0 YES 0 NO Note: Restauranto, bars or night clubs attach hoo!1h certificate and liquor license. All applicants must provide proof ofsanitation services. All Occupational Licenses expire on September 30mof each year. All merchants are responsible for renewing Their license each yaar. The C�yOf South K0iamik* not required tm provide renewal notdiosdion. SIGNED" /E CLASSIFICATION: 0 3 C.U. USE APPROVED BY. MWL- DATE: TRANSFER LICENSE NO: 6- QW0 776 Y� YEAR: PENALTY ISSUE DATE: BY: TOTAI_ O1/O9/O8 O8 1O:38AM 0-0 LICENSE F $231.53 ` - BERRY MELISSA OLOGIS7 SPEE�C�SLPUAGEPA� )I�+ SOUTH MIAMI 19A, s�11010NS HA L LICENSE APPLICATION CERnFlm� ?AVABER ve, South Miami,FL 33143 1-6343 *Fax 305-663-6346 400 Soun+M�Mt+66 3143 , g;(305)665 VENUE,SUOE 77 7000 SA 62ND A 592 332 (9 1-7) ERRYSLP@UMAIL.CON� _ :,iNESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME l ION NAME BUSINESS c� OR APPLICANT NAME:_ 5 SO, �'�� t�' PHONE: �� "� ®Q DBA: p BUSINESS ADDRESS: `7 SJ 2 t1 �- �� ' O 5btA s 1 Q�b ci)I MAILING � �ADDR SS:L � � NAME OF OWNERS(PROPRiETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: S.S.#: CJd �,'� D.L.#: PROPERTY OWNER: Dr . PHONE:Los' &611;- 05 S'-s FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: 5 Ur l:j� (dr 111A 4 i4A-V- eALA "l" 4, '6 ICI MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: O GROSS FLOOR AREA OF BUSINESS FACILITY: -S'D o SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: I DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT FOR F-S TE REQUIRE PARKING FOR THIS USE: ❑ YES [�T'NO (IF YES, SUBMIT COPY OF CONTRACT.) 2008 WILL THIS BUSINESS: RNANCF: DEPT. ➢ JOIN AN EXISTING OFFICE: Name of office: 1i>� A—A, R( A UrYES 0"10 ➢ BE A PROFESSIONAL.ASSOCIATION: E3/'YES ® NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ® YES ❑ NO ➢ BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES ❑ 0 l/ Note Restaurants, bars or night clubs atta--h health certificate anc liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of etch year and all merchants are responsible for renewing their license each year. I swear that all the above information is true and correct. ��'�,R j SIGNED _ i TITLE] f.;"u/"!i, DATE l WE•- .a,�.;aM _Tkn"I'�v� �.s =°" / 3;r i x '� � I ` 7 A N��l' a -s�..,t,<}t-•g�x x y�Rat (afi " _`�, t�r� t - �,-�.-__- USE. OIL) LICENSE CLASSIFICATION: v3 _ C.U. USE APPROVED BY: MW L- DATE: Z flog TRANSFER _ LICENSE NO: �fe�?'� YEAR: T � PENALTY ISSUE DATE: TOTAL (} L} CITY OF SOUTH MIAMI n �' 9CCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive,South Miami,FL 33143 `ice `-,-V Phone:(305)663-6343 * Fax 305-663-6346 - 7 FF T Finance Department Check one: ❑ NEW BUSINESS 64EXISTING BUST ESS HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAf� g Please Print � r ' CORPORATION NAME _ BUSINESS OR APPLICANT NAME: - PHONE: DBA: BUSINESS ADDRESS: '1000 �% ��.�� 33(f3 MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: � /L Sao U Tax ID#: o2 J_2-)/ (a 3 S.S.#: D.L.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: L c(t Q MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COV ANT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: Ell YESNO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: i5� XYES` El NO 4 ➢ JOIN AN EXISTING OFFICE: Name of office: 3 _ k P : LLS ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES ?d NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) _13'4YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES 4—NO Note:Restaurants, bars or nig[ht clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licence,s explre on tember 30�h of each year. All merchants are responsible for renewing Their license each year..fThe.City O outh Miami is not required to vi a renewal notification. SIGNED TITLE DATE -0 USE ODD MU-9 � f1/i� ud U � LICENSE CLASSIFICATION: 03 C.U. USE APPROVED BY: MW L r DATE: --1 Ilia TRANSFER LICENSE NO: .� �� f✓�� YEAR: PENALTY ISSUE DATE: '� -4 BY: /� TOTAL 5 Z ok l ��- CIT , OF SOUTH MIAMI n . OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive,South Miami,FL 33143 Phone: 305 663-6343 *Fax 305-663-6346 Finance D.! artmnent Check one: NEW BUSINESS ❑ EXISTING BUSINESS U HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print BUSINESS 3 CORPORATION NAME 1 PHONE: 1 d u OR APPLICANT NAME: g DBA: BUSINESS ADDRESS: 7 3131 Y3 MAILING �'� / [� s] �!/¢ /�t 331 3 f r t X70 E ADDRESS: 7 0 NAME OF OWNERS(FROPRiETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: -7 3 U 2 Tax ID#: S.S.#: �(o / 7 � S�� D D.L.#: gA) PROPERTY OWNER: �'� PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: A-A-1 o .4 , 0 A- SERVICE(S)TO BE PERFORMED: f� x(18-�fJ`,�?.t�.✓3 2£ MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: c/ l� SQUARE FEET GROSS FLOOR AREA OF BUSINESS FACILITY: �5 C) SQUARE R�;; 2v RE m '�h NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 0 ;© SITE EQUIRED DO YOU CURRENTLY HAVE A COVENAN , EASEMENT,OR LONGTERM LEASE(C NTRA,�fi) IF YES,SUBMIT COPY OF CONTRACT,) PARKING FOR THIS USE: ❑-YES ( stL `�° _t a= WILL THIS BUSINESS: Icq-/L�i✓ ��/S�s� U4ES ❑ NO ➢ JOIN AN EXISTING OFFICE: Name of`office: ❑ YES- �'NO ➢ BE A PROFESSIONAL.ASSOCIATION: . C3 NO ➢ -,REQUIRE STATE LICENSING: (IF YES,PROVIDE PROOF) ❑ YES ➢ BE LICENSING FEE EXEMPT: (IF YES,PROVIDE PROOF, certificate an liquor license. All applicants must provide proof of sanitation services. Note:Restaurants, bars or night clubs atta::h health All Occupational Licenses expired or!September 30th of each onyx trued and all merchants nts are responsible for renewing their license a h year, i s e r that all the above ,J 47-i+—DATE _ O fi �SCCrS�TITLE Sd - ' . SIGNED ' ,}, .?:» 0 1114-.A:'ihs 0 D� iAV _cJ- �(fic OMIC LICENSE USE: C.U. CLASSIFICATION: 2�...___ — TRANSFER USE APPROVED BY:_ M Vy L _ DATE_ Q� YEARN -`'� PENALTY LICENSE NO: / - ' — TOTAL ISSUE DATE: . CITY OFSOUTH NELAMI OCCUPATIONAL ~�—�5OSuooet Drive,South Miami,FL33l43 � 20"'7'?B Phone:(3O5)663'6343 Fax 305-663-6346 LF Finance Department Chenkone o wsWauaINsaa woouawEoa o *omsouaINEaa o CHANGE orADDRESS o CHANGEOFNAMt Please Print CORPORATION NAME BUSINESS OR APPLICANT NAME: PHONE: DBA: � �� BU0NESOADOREGS� c��c/ ��u�` ^� rvw _� MAILING ADDRESS NAME oF OWNERS(PRmPRIETOR. PARTNERS oR CORPORATE OFFICERS) .^� o4Ts BUSINESS WILL COMMENCE IN THE CITY OF SOUTH K8u\K0|/ v �- Tax ID#: S.S. D.L.#: � PROPERTY OWNER: HONE FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S}TOBESOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 71 � GROSS FLOOR AREA OFBUSINESS FACILITY: SQUARE BB NUMBER DF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: O YES U--KJ (IF YES, SUBMIT COPY OFCONTRACTj WILL THIS BUSINESS: > JOIN AN EXISTING OFFICE: Nama of rA-YES O NO ° > BEA PROFESSIONAL ASSOCIATION: El YES Ek NO > REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) tFYES []- NO > 'BE LICENSING FEE EXEMPT: (IF YES, PROVIDE ' ' [J YES EIV NO Note: Restaurants, bars � g ,. A Occupationa �plre on S-�pfemb/F�/(O'h of each year. All merchants are responsible for renewing Their license each year. The f'South Alaml is not required to prov newal notification. SIGNED. TITLE DATE DATE: 1+ 0 TRANSFER USE APPROVED BY: A4vi L, 77= - "I LICENSE NO: C, PENALTY H M's7~ z MZ ro w r14 0 4 w E ^7 HHro C7 z M� C wm o H L1 [n x X C 70 t+] th ro xq O C'+1 H O '�f'Ti.'i7 �' En 010 r_ z A OO H A m C H r x O H 949 1 r 1-4(n M r G z g r q �' `� p4�.r , : 5%•�7.• En Cz�IN •G fH] H v yq� ro H r �N� C 1O' t0 Sy AH to mN 3Y N';O O C O IIn N m 2 b7 ts] 00 'L O H 1'" ,�0�y 2 H In Q� 0 •1 t-1'! O In r �] 70 [J ro m ptl 9'hC`xf z , £ s� (n to �v �4 r •'y O H H 7a 1 x t� C K ro q z 'cJ Z A O H H to 07 to H V Cn [� z ? 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NA H O < [] H ro jyp H q �y° O ro LO G t]gg N 0 H tt-I d < O \ 0 O ro M x S H O (1)" w M CH 00 > ° > y A yy 0 : .0 0 Z O M 0 : .... .•H .O y M ; t9 M % q t9 x t l x1 �},_C ,g•• C �3; . :. H 'A rt A 0 H x7 @�m CA r ” a:i:::'.':.;/V':i q b O .z to n •, A ro G ro N 1-3.. zy C Z 0 z En 0 I� ° ° 1 .® q y C G m En .. ' t o T C m G N L E a E u I l` ry N C SD N l0 1 S? m a O , > C �_ m p Y L m O N m N m Q 3 a m m c cx i w a n . n i f..u' vi.iU ��.in3�=i `G. C::±'- YiG^ i' Florida 33143 43 ' T APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami ,` I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) tit A-5 y • �ov NC R-- ?t 5) Fame of person or persons who will , Real name of person �— manage, control or direct the business to be transacted in the 3 5� 3 315- City of South Miami : Home address Te ep one number 2) H0 M�q S ©. �a N n/ck �1, 1,, 6) Fictitious name of person, jrm Nature df busine of corporation (if.one As used) 0 Type of merc andi se handled, or - Location on of business separate license required for each location) �� C-�x 0 t 0 C\ Service 'rendered = Telephone number 7) W21SS Date when busi c�essrwll ..commence 3; (In case of a-Parent firm located Name of owner of building in which outside the City of. South Miami , business is located. state the date when business , covered by South Miami--License will be commenced.) 4) If a firm, names of members of firm, g) If merchant, .value_.bf stock carried k and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; Af not in business one year, value as of. commencement of business): I hereby certify that the above information is true and correct, to the best of mar knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) -- - -- Si gned - Date ' As �W w : fit a=or.. ex1 nst = oc�ete�cton with business. SZIQb-2 REV.8-0-ea OCCt �C-ITY OF SOUTH MIAMI TIONAL LICENSE APPLICATION �PA. 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 3305-663-6346 Finance Department �1111asee Checklone: ❑ NEW BUSINESS EXISTING BUSINESS 0 HOME BUSINESS ❑CeANG/E OF ADDRESS ❑ CHANGE OF NAMEj ply", U CORPORATION NAME 4 BUSINESS OR APPLICANT NAME: PHONE: 3, 5 49 DBA: BUSINESS ADDRESS: L% IP rn MAILING ADDRESS: NAME OF OWNERS( ROPRiETORORTNERSORCO ORATEOFF1 !:D DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID z 0� S.S.S #: D.L.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VA P9 LICENSF,NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUA 5 Fr=Qf,'�` NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: /oo,� DO YOU CURRENTLY HAVE A COVE NT, EASEMENT,OR LONG TERM LEASE(CONTRACT) _6R OFF-SITE REQUIRED PARKING FOR THIS USE: ❑-YES tKNO (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: > JOIN AN EXISTING OFFICE: Name ofbffice,6�' -v XYES ❑ NO > BE A PROFESSIONAL ASSOCIATION: ❑ YES. ❑ NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note YRestaurants, bars or night clubs atta--h health certificate ano liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license eac ear. I swear Ita -Z,t all the above information is true and correct. it' I/ 2trJ6 SIGNED TITLE O/ C.) DATE 3/2 E MIN USE: (C(�7 LICENSE CLASSIFICATION: C.U. Y. USE APPROVED BY: DATE: .TRANSFER LICENSE NO: 1 PENALTY �rl/ W YEAR: C ISSUE DATE: BY: " /1�1;_-_——___-- Zf-= MAR 1, 8 2M -3� iTo" MIN.A.NCE DEPT. o1.Jv Junset Urlve, Joutn iviiarn1,t'L.5314.5 I'IMI: U J Guvu Phone: (305) 663-6343 *Fax 305-663-6346 LFINANCE DEPT. Finance Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME ` BUSINESS OR APPLICANT NAME: �� lT n`/ PHONE: J DBA BUSINESS ADDRESS: �J d, �` �I V 1� J U 1. �? � O yam. MAILING -9,- A� /L� !� Y ADDRESS: T-J �T /�/...Jt> C, � � 2— NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: tAA-g (�v` Tax ID#: S.S.#: .J D.L.#: ry PROPERTY OWNER: lam . f 1'�n 71 �� J PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: ry�7�1�` U�l 1��'�" � '1'r v\,Ul`�L MAXIMUM NUMBER OF EMPLOYEES INCLUDING PWNERS AND MANAGERS: LLLILLJJJ �-�' GROSS FLOOR AREA OF BUSINESS FACILITY: a y�i-I SQUARE FEET ._ NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENAI�NT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES O IF YES, SUBMIT COPY OF CONTRACT. WILL THIS BUSINESS: �jrr JOIN AN EXISTING OFFICE: Name of office:✓ �C.t•�'�c',�r ` ( � . 0-YES ❑.,I ;Q ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES'-° =`Z31�N0 ➢; REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES -J. ,NO BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES , -NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. il"Occupational Lice s expired on September 30th of each year and all merchants are responsible for renewing V, 6, their lice se each yea . ear that all the ab ve information ' true and corr et. S:IGNED� TITLE DATE OFFICIAL USE ONLY ITEMS FEES USE: _.f �� Ey`-1 C /'il ' f %t'� LICENSE CLASSIFICATION: C.U. USE APPROVED BY: DATE: / TRANSFER LICENSE NO: O YEAR: PENALTY ISSUE DATE: S ZZ 0 BY: TOTAL 1111,1311 1 NO "111 1101 i CITY OF SOUTH MIAMI _.. OCCUPATIONAL LICENSE APPLICATION RECE 6130 Sunset Drive, South Miami,FL 33143 � � ` Phone:(305)663-6343 *Fax 305-663-6346 J U L Finance Department FINAGE DEPT� Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS )i_CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME (�� BUSINESS OR APPLICANT NAME: �7 �PA PHONE: —Ito s: GC967b'1 DBA: BUSINESS ADDRESS: AuQ- S , 490 -1 MAILING ADDRESS: 'SG�- NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: ' p -I Tax ID# S.S.#:v3�' ( 2y D.L.#: PROPERTY OWNER: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO:_ PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: efW j MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: �z©C---) SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: L.0 .. DO YOU CURRENTLY HAVE A COVENANT, EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ENO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ,r (� ➢ JOIN AN EXISTING OFFICE: Name of office: v'�,--P � 1}�c;��'�� -S O NO BE A PROFESSIONAL ASSOCIATION: YES ❑ NO REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) a'YES ❑ JNO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES l7 NO Note: Restaurants, bars or night dubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30'h of each year and all merchants are responsible for renewing their license each year. ar that all t e above information f iis,�true 'and correct. SIGNED TITLE-` A—AkA„ — DATE OFFICIAL USE ONLY ITEMS FEES 7 ZF USE: �\ LICENSE CLASSIFICATION: C.U. USE APPROVED BY: DATE: Z 9 TRANSFER LICENSE NO: YEAR: PENALTY ISSUE DATE: F /'%f�.` �; BY_ _% TOTAL., J CITY OF SOUTH MIAN6 CERTIFICATE OF USE APPLICATION BUSINESS NAME L"4;?J OWNERS NAMIE ►"ticr�L/� PHONE ADDRESS ZA-zO O sCc! TYPE OF BUSINESS aekLC � DA'L'E lS I ZO,-" OWNER'S SIGNATU OFFICIAL USE ONLY ZONING DISTRICT INSPECTION FEE $75 APPR VE DATE REJECT SPATE COMMENTS ZONING RIJII,DING ELECT. FIRE SEP 1 2006 SANIT. , 0. MAXIMUM NuiviDa[Vr crvirw i rzc� nww. ..... ..... ........_ ........._-^-�. I , GROSS FLOOR AREA OF BUSINESS FACILITY: lfi I I SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 4/0 DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LO CTjRF&F OFFSSITE REQUIRED PARKING FOR THIS USE: El (IF YES, SUBMIT C i f v �, WILL THIS BUSINESS: SEP 14 20�� _ • JOIN AN EXISTING OFFICE: Name of office: G— Y NO • BE A PROFESSIONAL ASSOCIATION: e� ANCE ®Et -S )F NO ➢. REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES &rj NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES >NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license each year. I swear that all the above information is true and correct. SIGNED TITLE DATE / 77 77,777,' Of.FICIAL 115EONLY.` "r„ „ITEMS.. _ FEESY . USE: �� LICENSE .��), CLASSIFICATION: �� C.U. `�` USE APPROVED BYE L DATE:L TRANSFER ,: ILICENSE LICENSE N 610?1YYEAR: PENALTY ISSUE DATE: ° °® BY: ITOTAL ` �' CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 j Finance Department ;. Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS Cl CHANGE OF NAME Please Print BUSINESS 7r ��'-7 CORPORATION NAME L ' . Jr�� ' OR APPLICANT NAME: �oa l`4 1141 P14 GLIB/ � �� L PHONE: DBA: e / 4,3 BUSINESS ADDRESS.: 3 3 f MAILING 7 r q SLf%/� v� . Lt/7� N//�/ / TL ,�•3/�3 ADDRESS: Li.�: �v oG C: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) z DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: T Tax ID#: �2Q 113"34� - S.S. — 37_ ilk7I, D.L.#: PHONE: PROPERTY OWNER: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 2 GROSS FLOOR AREA OF BUSINESS FACILITY: ,VI)zj SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: �G DO YOU CURRENTLY HAVE A COVENANT,EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES'gNO (IF YES,SUBMIT COPY OF CONTRACT_) WILL THIS BUSINESS: C3 YES C3--KJO ➢ JOIN AN EXISTING OFFICE: Name of office: — ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES❑ YES 0 p1 14 N0 O ➢ REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ➢ BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) - ❑ YES EF--iq0 Note: Restaurants, bars or night dubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupatio B icenses p ed on September 3&of each year and all merchants are responsible for renewing their license c ar. I t at the above information is true and correct. TITLE ?/�S1��/ DATE SIGNED ITEMS ; FEES OF .ICIAL:USE ONLY, I s3 USE.` �.... la.E - t "'.0B " � LICENSE 7.So c1 G? C.U. CLASSIFICATION: ? s / USE APPROVED BY: ` DATE: �'d �'��`� TRANSFER LICENSE NO: `o U` YEAR: Gt PENALTY ISSUE DATE-. F . 67 BY: TOTAL3 �S3 r CITY OF SOUTH MIAMI OCCUPATIONAL,LICENSE APPLICATION 6130 Sunset Drive, South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 .,nce Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS O HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print j CORPORATION NAME /� BUSINESS OR APPLICANT NAME: �lr' < �' f� F'C_ ' PHONE: DBA BUSINESS ADDRESS: /�0 MAILING !f� � 1_3/ �7"r //�� Y`1 rci', � Y ADDRESS: NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) A� DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: v 2W L S_3 S.S.#: D.L.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: , t' ,, , SERVICE(S)TO BE PERFORMED: t e �K �-- 0 J� (H- MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: r3 I GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 3 DO YOU CURRENTLY HAVE A COVENT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES Cii'NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: E E W Y JOIN AN EXISTING OFFICE: Name of office: ❑ Y-S Ci' N04 BE A PROFESSIONAL ASSOCIATION: LrI=G S ❑ NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ®'YES El NO • BE,LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ;, Flp�ANCE DEPT. ❑ YES 4 NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire din September 30th of each year. All merchants are responsible for renewing Their license each ye gar The Ci !Of S uth Miami is not r"equired to provide renewal notification. !>? f i /%s DATE SIGNED -'"� TITLE i , `A. : a d� L.��, •'?:ry.... ��;8:._ ._, �'I��Y'D/!i�' �G�J7�.t i..�.°�w �c,,, a .�ti�'3��ia°':.�a-+t,'�`?M's �T�I�I�� r.3�x .:7'`,l 4 i�'..'.FEE�,.m USE: f !�"� M<A;cc� OfA?e-) LICENSE 9, CLASSIFICATION: O,p3 C.U. USE APPROVED BY: Min/!- DATE: IZ Zb O&V TRANSFER LICENSE NO: 'I � > YEAR: ( G PENALTY ISSUE DATE: / Z a -0 G BY: TOTAL CITY OF SOUTH MIAM� OCCUPATIONAL LICENSE APPLI`a how r " 6130 Sunset Drive, South Miami,FL 33143 r-f. tr P � I Phone:(305)663-6343 *Fax 305-663-6346 ` t ' G0 E Finance Department r 1 Check one: '� . NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS L3 CHANGE OF ADDRESS C3 CHANGE OF NAME Please Print �\ CORPORATION NAME BUSINESS OR APPLICANT NAME: CJ // ?-b�??U�,�� PHONE: ��'I J-3 DBA BUSINESS ADDRESS: ZLOO MAILING /) r� ADDRESS: (� � T �"Z/�LZ NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: A` 0/ pa, Tax ID#: S.S.#: 5V%!5 1,3 2-A Of D.L.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: s^ PRODUCT(S)TO BE SOLD: �/ /' SERVICE (S)TO BE PERFORMED: t"'7 2 1d e �-� MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: / GROSS FLOOR AREA OF BUSINESS FACILITY: PC/ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: '30 DO YOU CURRENTLY HAVE A COVENAN3�EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: E3 YES UMO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: Al. / ` Z '� % � XES VIVO ➢ BE A PROFESSIONAL ASSOCIATION. GYYES ❑ NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) a-YES ❑ NO • BEtLICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES al_mc�.. Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Liceia3ses a -pire on September 30th of each year. All merchants are responsible for renewing Their license each year. T 4/City Of outh Mia is not required to provide renewal notification. SIGNED p�`f �' TITLE ice/ DATE S� - FEE , ✓" ti � USE: M(Ai cd G� LICENSE CLASSIFICATION: (73 C.U. USE APPROVED BY: W L- DATE: V 2-1 20 TRANSFER LICENSE N YEAR: %L> PENALTY ISSUE DATE: BY: TOTAL ` ;,_ -,•>,,,. CITY OF SOUTH MIAMI I OCCUPATIONAL LICENSE APPLICATION � ,mom°, .,•. 6130 Sunset Drive, South Miami,FL 33143 Phone:(305)663-6343 Fax 305-663-6346 Finance Department Check one: NEW BUSINESS ❑ EXISTING BUSINESS L3 HOME BUSINESS El CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME -� �)� p (`,� BUSINESS OR APPLICANT NAME: �� C k&ONE: 5L `3 DBA: BUSINESS ADDRESS: l`� MAILING �f ADDRESS: o o cix 7 t Y� \ TL NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) , r DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: ,,SO_5?91� Y 7 i S.S.#: D.L. #: PROPERTY OWNER: ' " FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: ' L r ' ' _ P SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: ; SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: /10 DO YOU CURRENTLY HAVE A COVENA EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED El W PARKING FOR THIS USE: YES ND (IF YES SUB/. COPY OF CONTRACT.) WILL THIS BUSINESS: JOIN AN EXISTING OFFICE: Name of office: �/ •IJ YES El NO BE A PROFESSIONAL ASSOCIATION: CsY�( S El NO )> REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) W ES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES f O Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses ex re on September 30th of each-year. All merchants are responsible for renewing Their license each Yeg. Th 7Oity O 5outh Miami-is•tio required to provide renewal notification. �g SIGNED TITLE DATE _ K.a,,''"i- 'e __ °Y -t x:, a P°K" `�SkTi- „Ra'`gfi �'ze gr a.se'i;_•. ^,``a. A77 ' .'.„'•'x` . w' ','..w '•43.i"d-.'`fi.Jl�ne".'f v7."`i�, r sr1,.z4:J �A `% Y: I_ r...5`...."K`.H.x.i1.•...31''. jc ''Nt ty9Y5AL..n.rYSS yr44 �' .t%lttti' .. USE: D/_ 'M wkc d p 64 ) LICENSE 3 CLASSIFICATION: ®�3 C.U.h'v& USE APPROVED BY: W DATE: l Ztr 6 TRANSFER LICENSE NO: =) — i f / YEAR: PENALTY ISSUE DATE: 2 t f BY: ' ? TOTAL p r : CITY OF SOUTH MIAMI OCCUPAT'IONAL LICENSE APPLICATION BUSINESS NAME: f PHONE: ' BUSINESS ADDRESS: MAILING ADDRESS: , DATE BUSINESS DIDPAUL COMMENCE IN SOUTH MIAMI TAX ID #: S.S. #: -,' uz? _. w ;s D.L. NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSbN: ADDRESS: PHONE: PROPERTY OWNER : PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ° # c, p WILL THIS BUSINESS: o p r p GO',�O rG�J BE A PROFESSIONAL ASSOCIATION YES °_ NO JOIN AN EXISTING OFFICE (IF YES, PROVIDE PROOF) YES NO HAVE DOOR TO DOOR SERVICE YES MONO o° OPERATE FROM A HOE YES U M 2y O> o ' i�.,t REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES CNO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOr) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE ANI9 LIQi OR LI-ENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED f TITLE DATE r r F: f OFFICIAL.USE ONLY FEES USE: ,;. LICENSE i CLASSIFICATION: C. U. USE APPROVED BY: ,'. ;- DATE: r s TRANSFER ACCOUNT NO.: YEAR: PENALTY ISSUE DATE: ,. ,� , 'f,r BY: TOTAL, ula eta 't LIC. NO.: 6130 Sunset Dr. South Miami, FL 33143 DATE: t. C _�c>5 .F 663-6300 FOR YR. a c - r _ _T i� NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Pvfiami requires the purchase pational license for the classification and in the amount stated herein, for the period enpurchase of an occu d 302 14ED�CA,.L OFFICE 9' S APT Gb BER 3o 6 �n9{ 'e IC NS FED P,cc it Number TOTAL 3 R L i t 6 1 - 273 .. 00 LICENSE TAY, PAYABLE AT OFFICE OF TAY. � �'� ' e S _Y •i ` _i:x COLLECTOR. CITY OF SOUTH MIAMI, ON OR I / �`5 '-'''^ BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER 7000 SW 62 AVE SUITE #4 0 0 1.A 10%PENALTY FOR THE MONTH OF OCTOBER AND A 5% PENALTY FOR EACH MONTH OF So - MIE'K-% e FLA 331-43 DELINQUENCY THEREAFTER WILL BE ADDED,AS REQUIRED BY MUnICIPAL CODE_OF SOUTH MAKE CHECKS RAVABL-E"TO CITY OF SOUTH MIAMI - THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE - -�u-�- If proprietorship,name of proprietor _— - ---- if partnership,names of partners K if corporation,names of officers: I CL_ COS-�",4 WILL THIS BUSINESS... Be a professional C7 'ES Join an existing office? ZYES Have door-to-door DYES Operate from a home? YES association? X10 ONO service? ONO NO [FOR equire state licensing? OYES Require license YES Be licensing fee exempt? OYES If s ;; ON transfer? ❑NO 0 :avide'dkumer'tod arbof. _ Number of - ross floor area of Number of parking spaces employees: siness facili incl;+iii 014rners and mans emert _ excfusivef for this use: l RESTAURANT, Number of Health certificate OYES Will liquor COY_,S If',iquor is served, R,NIGHT 0LUB: seats provided: attached? ONO be served? ONO atiach license. Person who will A ! manage the business: 16 14t�E Phone: Address of above person: i 03S 51a) l 3 a CH-. r 33 STREET Name of Ctry s,ATE ; ' ZJPdGDc y- Property owner Phone: FOR TRANSFERS,LIST THE PREVIOUS: I �2� i?A Business name: I�Af I� �IVII c Owners: l.-c.t.)s.EnGC- t✓t�m, ,Jr Address: 7006 SW _t7 ( 4�'1r> > 1 I-( I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: C-Z_Z2 TITLE: DATE: FA ��; �� , 2 Classification 1 Amount: o-� c?Transfer Penalty T cp' _ l /1 1s- 6130 Sunset Dr. South vi!anil, t-L 5,9140 ur L u/ V L =� 663-63Q0 FOR YR.: 9 9 5—19 9 b NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE Id � y _ IC You are hereby notified thMunicipal Code ol n the rhounht s City of South h rein, for he periold ending purchase o an occ1 9'� pational license for the c 7 D Account Number Rd2 L/P Medical OifiCe � Paid ii. ;till 1/4/96 X1750 ` . 818924 ' LICENSE TAX PAYABLE AT OFFICE OF TAX E tgewazer Heal'-n Services COLLECTOR, CITY OF SOUTH MIAMI, ON OR ,4 BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER Suite 1,A t 0%PENALTY FOR THE MONTH OF OCTOBER S w, 7000 6 2 Ave. AND A 5% PENALTY FOR EACH MONTH OF '� DELINQUENCY THEREAFTER WIL BE ADDED,AS vG� miC1mip FL REQUIRED BY MUnIC1P,AL,. CODE OF SOUTH t M mi IA MA CHF TGSPRYABIE 0CIIN�O ..��JT1iMIAf/il THIS LICENSE W1UST BE DISPLAYED IN A CONSPICUOUS PLACE -- -----[�I parirTi:rsnTp;"names of partners.. �� if corporation,names of officers: f q 2 WILL THIS BUSINESS... Be a professional 11, YES Join an existing office? YES Have door-to-door OYES Operate from a home? OYES association? ONO I ONO service? ok NO E F. Require slate licensing? ES Require license OYES Be licensing tee exempt? OYES If yes, NO transfer? 0 NO rovide documented roof. Number of Number of parking spaces 3 employees: .� Gross floor area of P 9 P . includin owners and management) business facili : exclusive) for this use: G' FOR RESTAURANT, Numb Health certificate DYES Will liquor DYES If liquor is served, BAR.NIGHT CLUB: seals provided: attached? ONO be served? 131N attach license. F Person who will manage[tie business: — Phone: r, Address of above person: t SIREET CITY SLATE IIPCODE E • Name of 1;re f+ Phone: 'R y` propert;ovmer FOR TRANSFERS,LIST l THE PREVIOUS: . n� �' Business name: Owners: a7 Address: I hereby certify that the above information is true wid correct, to the best of nly knowled le and belief. I al " uid alli-LTrr�c� obtained on a misrepresentation of material Tact are nu� arid void. L• SIGNED: TITL D . DATE: s" OFFICE USE 0NLY' d I. Account# Classification Year: Amount: , CIU Fee Transfer Penalty Amount e is Use: C/ lLCC� 4: As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fust time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASEPRAVT Name of �— , Business business: RR b&-n). V-- phone: Street address of business: "OV7) SCd to South Miami,Florida Suite Product(s)to be sold or No. az) service(s)to be rendered: �-�•—�_ �� -� Name of owner U Date business of business: / will/did commence: Tax D# �D to F3 Social Drivers AMY# tf ro etc ,na�cl partrr ershiif corpaatioameee WILL THIS BUSINESS... Be a professional OYES Join an erosting 0f8ee? OYES Have door-to-door DYES Operate from a home? OYES assoaabon? A0 I O service? O p Require state licensing? OYES Require license YES Be licensing fee exempt? OYES If yes. ENO bansior? ONO ONO provide documented oroof. LEd f Gross floor area of Number of parking spaws s a business S exdus for this use: owners and malt ement FOR RESTAURANT, tiealih tsta5ku to AYES Will liquor DYES If liquor is served, BAR.NIGHT CLUB: seats e& attaches? 0 be served? 0 attach license. Person th wB � � manage the e business: Phone: ';15, Address of above person: SrAEET cffy STATE ap cwE Name of property owner Phone: -� FOR TRANSFERS,LIST THE PREVIOUS: 1 Business namt>s: Owners Address O- S - �� S�av,��h-i.��•�--c_ L. .�3�y I rd th a information is true and correct,to the best of my knowledge and belief. I o de Licenses obtained on a misrepresentation of material fact are null and void. SIGNED: TITLE: /t DATE, 4V'x1' S /� OFFICE USE ONLY . . Account# `7 J v l �� Classrfrcati Year Amount C1U Fee Tran - Amount TOTAL P.02 i /. APPLICATION f01 QC C'U1'AT10N L LI )✓NS)J As required by City Ordinance. I hereby make a7 @icutio n .r ;.R Occ; ational Lice r that 1 - ,i� p License. I understand this loran must be completed and returned with copies ul pruul ul s�i:aatiuu servi,_t-s. t also that first time occupants oHf:ury premises will be required to crmipicle lo- a Certilic:nc of Use inspection Turin with tine B z_D�-parunent. Separate licenses arc requiredl for cacti business location in die City. PLE4SEPRINr �, �f • GyJ.D Name of �u � W-siness business: ��r plc'4 7 rP phoe: Street address of business: S w e" 3/S""3 South Miami,Florida Sui Producl(s)to be sold or N . v0V service(s)to be rendered: Nam Dale business of business: wrNUdid commence: Tax Social Divers ID b s— Q DD Security,iY aka — //- 3 35 Lkense ft If propnelorship,name of proprietor if partnership,names of partners if corporation,names of officers:�� WILL THIS BUSINESS... Be a professional YES Join an existing once? YES Have door-to-door OYES Operate from a home? ❑YES association? ❑NO ❑NO service? NO Require stale licensing? ES Require license I DYES Be licensing fee exempt? OYES If yes, NO I Iransfer? 0 PNO I provide documented proof. Number of Gross flour area of Number of parking spaces employees:_ 3 business facility: S a-av exchcsivel for this use: � (including owners and management) FOR RESTAURANT, Numbef of Health certificate DYES Wl fiquor DYES If liquor is served, BAR.NIGHTCLUB: seats provided: attached? ONO be served? ONO attach license. i Person who will i manage the business: Phone: Address of above person: _ S1nEEr CTrx STATE WCODE Name of • ? property ovmer /ecoof 5e et .s7e+✓ A FOR TRANSFERS.LIST THE PREVIOUS:�� e .�d �� 0vWO Owners: Business name: l (®/r f Address: i l hereby certify that the above information is true .out correct. to the best of rny knowledge and belief. I al u.d a-Hiram-,obtained on a misrepresentation of material tact are nufl and void. SIGNED: TITLE: 141• DATE: l� 9 oe O F F I C E U SE- ONLY' Account# fle a Q Classification j Jr Year: 7 Amount- ;7 CU Fee Transfer Penall Amount 3 Use: c a, �1c� �, LIC. NO.: 00605 6130 Sunset Dr. South Miami, FL 33143 DATE: 4—01--:;6 f 663-6300 FOR YR.: f �. NOTICE OF AlViOUNT DUE FOR OCCUPATIONAL LICENSE ind lete You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu pational license for the classification and in the amount stated herein, for the period ending: EP T EMBE 300 C:i%_ROP � T�—. OFF—ICE Account Number LICENSE -FEE YR H G f� LICENSE TAX PAYABLE AT OFFICE OF TAX T"'"'£`�'r�E-NS SOR17, iG/ �' >0:�—:f X31 COLLECTOR, CITY OF SOUTH MIAMI, ON OR LZln t'i �?�..:. BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER EDGEWATE'R r L= T WkI—" E 1,A 10%PENALTY FOR THE MONTH OF OCTOBER — AND A 5% PENALTY FOR EACH MONTH OF 7000 S— 62 ZWE/ SUITE '7 `i? DELINQUENCY THEREAFTER WILL BE ADDED,AS � „ REQUIRED BY MUNICIPAL CODE OF SOUTH MIAMI*--.: _ - MAKE CHECKS PA, A8LE=T0 CITY GF SMTH MIAMI • THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE arUleismp,narne5ulVd IB ' if corporation,names of officer-s;-J/ (�P WILL THIS BUSINESS... Be a professional ES Join an existing office? BYES Have door-to-door OYES Operate from a home? OYES association? ❑NO ❑NO service? EM Bidfl Require state licensing? ❑YES Require license ❑YES g fee exempt? ❑YES If yes, ONO transfer? ONO rovide documented proof. Number of / Gross floor area of Number of parking spaces employees: im business facility: exclusively for this use: including owners and management) FOR RESTAURANT, Number of Health certificate OYES Will liquor OYES I if liquor is served, BAR,NIGHT CLUB: seats provided: attached? ONO be served? ❑NO I attach license. Person who will _manage the the business: Phone: ` Address of above person: �11r7J S � � ° STREET C" STATE ZIP CODE Name of property owner Phone: FOR TRANSFERS, LIST THE PREVIOUS: -- Business name: Owners: Address: , I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also derstai i t licens tained on a misrepresentation of material fact are null and void. SIGNE C TITLE: D�yyfz or ' Fl&©9Agj770— DATE: 6 �C OFFICE USE ONLY' Account# C Classification _ Year: j Amount: CIU Fee Transfer Penal % Amount Use: 'il i�r.•� r tr i If C- 't..iC�`�'.�•'..�'� �� t F"GC I]C.�C C r_6 �.i ••,.. ir-' \A Yd nu+ v «. L 6130 Sunset Dr. South [Miami, FL 33:43 DATE: 663-6300 FOR YA.:19 s NOTICE OF Alr/iOUi`T DUE FOR OCCUPATIONAL LICENSE of the You are hereby notified that the Miunicbpal Codernouni staltecd of he eirthfoerlthe perpiocfeencling purchase of an oceu 6 c� pational license for the classification an S"'`P�"= '� " Account Number 301 1,5!-:D1CkL OFFICE � X00 o OED LCT'."E:ENSE FEE 00.GG C/U FEE $ 275 .00 I LICENSE TAX PAYABLE AT OFFICE OF TAX COLLECTOR, CITY OF SOUTH.MIAMI, ON OR H yL.t`HSGUl`H LARK114 PAIRTI CIL BEFORE OCTOBER t ST.IF NOT PAID BY OCTOBER - _ ;--. -,— F 1.;T"` Pd* 305-284"750,0 1 Ai0r PENALTY FOR THE MONTH OFOCT,6B f 5�3�•�•,° � �',�5,_,�,x, 1'� iP'Ya`��i"�F� AND A 5% PENALTY FOR EACH AhONrk / SUITE •' t DELINQUENCY THEREAFTER(KILL BE D •:A 70 00 SW 62 f'�.dF�:.1! `73��It '�'E �'' REQUIRED BY MUNICIPAL CODE��SOUTH Cs. Z4 tZ p F`LTE 33143 — Ys' -, MIAMX,=q _.... .._. MAKEC-+iEGKS-PAYABLE-TO-CfTY`OF SOUTH MIAMI THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE . �_.._:—. Social Drivels rax. .� ID# 5 9-,,)(,�:,,cl'�6 Security it Ucense# If proprietorship,name of proprietor I partnership,names of partners if corporation,names of officers: WILL THIS BUSINESS... Be a professional DYES Join an e)asting office? AYES Have door to-door DYES Operate from a home? MES association? ENO service? ENO ®NO Require state licensing?` [7YES Require license DYES Be licensing fee exempt? DYES If yes, "":C-',-� �� ""� DNO transfer? ENO dMNO provide documented roof. Number of Gross floor area of Number of panting spaces employees: 7 business facaTi . F exclusively for this use: �8d din owners and man emeriti FOR RESTAUW. T, Number of Health certificate DYES Will liquor DYES If liquor is served, BAR.NIGHT CLUB: seats orovided: attached? DNO be served? DNO attach license• Person who will manage the business: l Av rr,L . Phone: Address of above person: �I 3 l UJ c 2 A 1 '1� `I �? f CODE STME7 My STATE ZIP Name of / 6 Li Property owner �a u"rt �< ,t "H C� Pr �. � .tip — Phone: (—Sabi ..��_ `.%fv� FOR TRANSFERS,UST THE PREVIOUS: Business name: Owners: �� .`vp /,LIM It Address: i7 I'hereb cerfi that the above information is true and correct, to the best of my knowledge and belief. V, 'I I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: TITLE: i. �,,;(��; c f 1�` DATE ��r t -- _ Account# Classifications Year. / �V ice = �-' '? Amount: ~� ' Amount. CIU Fee % Transfer -� Penal -/ J' "CC' ��' t� 17 AJ 117 61 cp-o 0 C I a � , • 6130 Sunset Dive. South i L Forma 33143 APPLICATION FOR OCCUPATIONAL LICENSE r - jired by Chapter 13, Article 1 , Section 13-1 , of the Code of if the City of South Miami , I hereby make application for an ,1 License. I understand that this for-in must be completed and ,efore a license may be issued. `9"69E - FaLD A4 W �� 5) Name of person or persons who will iame of person manage, control or direct the business to be transacted in the City of South Miami : =ieonone numoe =ictitious name of person, rirm Nature of business of corporation (if one �s used) 7voo sW 62 ��• �ov� �b ootyiry mmMI 1=16 S31 Lt3 Type of merchandise ranalea, or _ocation of busin ss lseparate license required for each location) pleA.� 0305) r Service renderea -elepnone numoer �� gate wnen cusiness is commence In case of = =arent =',rm locatea •7,me c= :Nner of bui ioina , n wnicn outside me C - �� 'i ' • . _• _ . _ouzr i ami , ,usiness is iocateo. state .he date wnen ousir_ss covered by South !-`iami License will be commences. ; = ` a firm, names of members of Firm, merchant, value of stock carried and if a corporation, names of (definea as cost value of stock on officers of corporation: hand at close of licensee's fiscal �� year preceding license period; if ��h'r�''�� e not in business one year, value as 12 of co=encement of business ) : S ^ereby certify that the above information i Lru ' nd rrect, to the -best .f nv knowiedoe and belief . (Licenses obtaine o re ntati f° serial JCL are �,jil ana void. . :lanes � :ate As 6130 Sunset Dr. South p4arni E UC.(vo.: 00303 , - IL, L 331 663-6300 DATE: NOTICE OF AMOUNT D P � l'ou,are hereby FOR��(�.: Y notified that the p CUPATIONIAL LICENSE <<r,,�;• Municipal Code pational license for the classification and in the amount state of the City of South fi�riami re i, d herein, for the quires the purchase of an Pe ending occu Account Alumber It ..i:.:<<:2 C.'l.' �:%.!`!'.�'_-�»i`Fs �,� t•- µ�'•t ^'J_l. r•.�r.tyr....._`, ' W-f P_:cam. Y=jOE x - LICENSE E'' f"S%F•s'';: _ COLLECTOR,X'PAYABLE Y AT OFFICE OF.TAY, r !—}-• BEFORE OCTOBER i SOUTH 6CTO ON OR `"'=f `'!',�> •A 10%PENALTY FOR 7HE MONTH OF OCTOBER ._ AND A 5 D PENALTY FOR EACH MONTH E BER MAKE CHECKS-� — — REQUIRED THEREAFTER Vq�y BE ADDED,AS � �'� t"I O BY MUNICIPAL C CITY aFbOUTtf(v11A(t<I ta ;u,. ODE OF SOUTH -THIS LICENSE MUST BE DISPLAYED '- 1 1 LAYED IN A CONSPICUOUS PLACE ` / Rea na me o person of person or ' m—anage, control direct 'h i✓� j business to be t�ansactc� she -ome �taress G 7-1 VE City of South Miami : ea in the �Fl� �1p33��`� �(epnone numoer fictitious name of person, Firm 6) Of corporation (if one 's used) "nature of business u;F►- F-r r�-t f �. 33 L 3 _ocation of U"sfn6ss ( separate TY�e of merchandise n license required for each location) an°leQ• or 62 nrrllr �` IC;C= service rendered eiepnone numoer date wnen Business •^me _,vner or f :n case of o commence buiidina ;n wnicn =-rent "rm ocatear _Usiness is located. outside the C. _.✓ Outn 1aml , state .he date wnen ousln-ss covered by South laiami License will be commenced. ; a firm, names of members of firm, , And if a corporation, names o �� !r merchant, value of stock carried :;ffiCers of corporation: (definea as cost value of stock on hand at close of 'licensee's fiscal Year preceding license period; if not in business one year, value as Of commencement of business ) : e ^ereby certify that the above i nforMation is tru e -' -y knowiedde and belief. pct are ^uil and void. ,'. (Licenses obtained on a misr . and correct, to the void. ,'. best eoresentation of material �ioned -ate a� f r of South Miami a - o, 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. {^ 5) Name of person or persons who will 'Real name of person manage, control or direct the business to be transacted in the j-f r)C) S. tA-,,G 3 tee, City of South Miami : Home address Zip y_ 1 .,�60 ('-), .7- e L?6 i Telephone number Fictitious name of person( firm, 6) ��``�'`' � c z� p Nature of business of corporation if one is used) S '7000 .IVF C) ��C3r Sys �e7Le L4C)ly `` I, __3 _31 f� Type of merchandise handled, or 1. Location of business separate license required for each location e of • (3 0 5-) C G f -E Service rendered I; Telephone number 7) �cfe��r��-v,c�C� ✓ /— � 3) k� Date when business will commence YIOL C1`t✓°��° �� G��1 (In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located state the date when business �, a � j'icr° �►' '6ce covered by South Miami License �� !�` �� t�� ,, �vrpL ;.ctt" �e� will be commenced. ) 4) If a firm, names of members of firm, g) If merchant, value of stock ca6-1-ed and if a corporation, names of (defined as cost value of -stock gin ..,.... officers of corporation: hand at close of licensee's year preceding license .period• if �•ry �''� U i� ,`r-€ not in business one ye value as q of commencement of busines `` ` ^ ..60 51 f IN,I-esiCT A CtP' _ r I hereby certify that `the above information is true and correct, to the b `• of my knowledge and belief. (Licenses obtained on a misrepresentation of material" fact are null and void.) Signed c zll ,cam vtj�,D Date �� c�6� f�. % As � � i�pj� G Title or explanation of connect one SZ600-2 REV. business. C 2 T Y O F SOUTH M 2 AM 2 APPLICATION FOR OCCUPATIONAL LICENSE �` PLEASE PR2NT 5`0V s required by Ordinance X 18-80-1077 of the City of South Miami, I hereby �d make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B & Z Department. 'NAME OF BUSINESS: OFF=C:E USE OPF:T-Y FZL�f Ek1 F0L171w1A.1,j '- C3Ge 'F S� Cs'vFfv!ifs 0• �Vui6V iLPCB,,p-/4Uv :' tiy� r.AC.CCUNT: # CLASSIFICATION. l STREET ADDRESS OF �,ySINESS: coo --L A0E �= �0� YEAR:19 9 4/9 5 AMOUNT S South Miami, Florida !3;g i C/U' FEE': S7 0' TRANSFER: P-150 Separate licenses are required for each business location in the City. PENALTY AMOUNT $ BUSINESS PHONE: (gcg�>6iC,5-0.57 USE:: f�` .ry/�f C Ili f IPRODUCT(S) TO BE SOLD OR NAME OF PERSON WHO WILL MANAGE, SERVICES) TO BE RENDERED: ,�yyCppONTyR-OL ORDIRECT THE BUSINELS`S: STREET ADDRESS OF ABOVE PERSON: NAME OF OWNER OF BUSINESS: �7U � CITY, STATE, ZIP CODE: DATE BUSINESS WILL/DID COMMENCE: HOME TELEPH�ON(E(, OF 9ABOVE PERSON: PROPRIETORSHIP, NAME OF PROPRIETOR Y IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PROPERTY OWNER: IF CORPORATION, NAMES OF OFFICERS: �� PHONE OF PROPERTY OWNER: c FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS.. . YESINO NUMBER OF SEATS PROVIDED: j BE A PROFESSIONAL ASSOC.? ti/� HEALTH CERTIFICATE ATTACHED? JOIN AN EXISTING OFFICE? WILL LIQUOR BE SERVED?* k HAVE DOOR-TO-DOOR SERVICE? *If liquor is served, attach license OPERATE FROM A HOME? FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE STATE LICENSING?* I i� VALUE OF STOCK CARRIED IN DOLLARS: ;REQUIRE LICENSE TRANSFER?* 0011etl Y coat aalua of ataas as NM at rloaa at ilaaMaa•a f laaal year BE LICENSING FEE EXEMPT?* psmeo llaama taarlaat taaaaaar. Lt cut la taualnaaa—yaar. vuua r of F-aat of aualaaaaal /� /f * If yes, provide documented proof FOR TRANSFERS, LIST THE PREVIOUS: v'�✓✓✓/P`/( GROSS FLOOR AREA OF BUSINESS NAME: BUSINESS FACILITY: 'NUMBER OF PARKING SPACES OWNERS: I f / (EXCLUSIVELY FOR THIS USE: INUMBER OF EMPLOYEES: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A MISREPRESENTATION OF MATERIAL FACT ARE NULL AND VOID. `1 r SIGHED: TITLE: Lyr� DATE: � - citu i 19 .. ®19 6130 Sunset Drive, South Mlamt Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. A Cl t 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the L `City of South vj i : -ome address 7tp j eieonone numoer icttitious name of person, rirm "a ture of business of corporation (if cne 's used) ---------- n or usiness lseparate TYPE of merchandise nanolea, or license required for each location) Service ren ereo ejepnone numoer Date wne busyness i _ommence ' :n case of =arent 'irm ocated Mme c= _wner or bui / oina in wnicn outside *ne .Soutn "iami , :usiness is iocatea. state :he date when ousin=ss covered by South Miami License will be commencea. i a firm, names of members of firm, IF merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on „fficers of -orporation: hand at close of licensee's fiscal year preceding license period; if not in business one year, value as of commencement of business ) : hereby certify that the above informati is true and correct, to the best :f 7v knowiedge and belief. (Licenses obtained on a misrepresen t:1 . of material-act are null ano void. ; S i aned � L -ate As '� C1,00Y Of South,Miami 19 8-1-M 19 8--i- 6130 Sunset Drive, South Miami. Florida 331 3 APPLICATION FOR OCCUPATIONAL LICENS�G As required by Chapter 13, Article 1 , Section 13-1 , oc, ,.ie Code of -r Ordinances of the City of South Miami , I•, hereby make application f Occupational License. I understand that this form must be c_omplet and ni returned before a license may be issued. f� '°" ` ' z C T dy 1 ) ici Americas Inc. 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the 7000 S.W. 62nd. Avenue - Suite 421 City of South Miami : Home address Zip G. B. J. Carnegie, Managing Director 305 661-2566 Telephone number 2) Not L_j�plicable 6) Administrative Office, Multi-National company Fictitious name of person, firm Nature of business of corporation (if one is used) N 0 N E 7000 S.W. 62nd. Avenue - Suite 421 Type of merchandise handled, or Location of business separate license required for each location) Regional Support - Latin America Service rendered Miami. FL 33143 Telephone number 7) 1/1/1989 1 Servus. Management Corporation of Florida Date when business will commence 3) Harold J. Clare, RPA (Vice President) (In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) 4 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cp=fit_--,value of stock on „ officers of corporation: hand at close"of Ticensee ;s : �s:cal f year preceding ,l e;Ns,6 " rio'd if H. Corless not in busin-';s'°'one year, va1_ue, as of commencement of business) : ;' . J. L. Kammerer N/A J. K. Riegel C I hereby certify that the above informationlis true and correct, to the best of my knowledge and belief. (Licenses obtained. on a misrepresentation of material fact are null and void.) Signed B.J. CARN•LE f Date September 12, 1988 As {Man ;inq Directo.k itle off° explanation of tconfiect on wit business. ®Z 100-8 REV.®—Q7—= ltle or exuiana� � • ., ILI�F3�11/%� .�"-��©ni I�+P.i®0,1.110 m mn -v. , ..... - 4v1'`cJ 4f•Gc. id 6130 Sunset Dr. South Miami, FL 33Z 43 DATE: i <<t,i.,,t. ; ,2 663-6300 FOR YR.: ieF•:;x r s ca,t_; NOTICE OF AN40UNT DUE FOR OCCUPATIONAL LICENSE i of South Miami requires the purchase of an occu You are hereby notified that the Municipal Code of the City ion and in the amount stated herein, for the period ending: pationai license for the classificat 2 1.�i8 i! . `;i_S Account Number -�is s t:1 i�P C-��i..:...f=t-t r-:!..� � I Ct Z5 PC) LICENSE TAX PAYABLE AT OFFICE OF TAX " COLLECTOR, CITY OF SOUTH AAIAMI, ON OR t C1,,= w- �{ t F�i, :, BEFORE OCTOBER t ST.IF NOT PAID BY OCTOBER 1,A 10%PENALTY FOR THE MONTH OF OCTOBER ',tl,.i it„i AND A 5% PENALTY FOR EACH MONTH OF FL DELINQUENCY THEREAFTER WILL BE ADDED,AS REQUIRED BY MUNICIPAL CODE OF SOUTH 335 1 MAKE CHECKS AY—BL 70 CITY OF SOUTi-i MIAMI [LL .'HE THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE — — —_'IN HOME ADDRESS CITY, 1STATE, ZIP r5o g- 38(, TELEPHONE NUMBER 6 ) f EPICA L OF Ft Cr—: NATURE OF BUSINESS 2 ) FICTITIOUS NAME OF PERSON, FIRM TYPE OF MERCHANDISE HANDLED, OF CORPORATION (IF ONE IS USED) -7000 S.bV 2ND 40 6 . k(M1 FL 3.; -145 OR SERVICE RENDERED LOCATION OF BUSINESS (SEPARATE LICENSE REQUIRED FOR EACH 7) LOCATION DATE WHEN BUSINESS WILL (�O 6 (0 5— 5�� COMMENCE (IN CASE OF PARENT FIRM LOCATED OUTSIDE THE CITY TELEPHONE- NUMBER - OF SOUTH MIAMI , STATE THE DATE WHEN BUSINESS COVERED BY SOUTH MIAMI COMMENCED)LICENSE WILL BE NAME OF OWNER OF BUILDING IN 4 WHICH THE BUSINESS IS LOCATED 8) IF MERCHANT, VALUE OF STOCK CARRIED (DEFINED AS COST VALUE ' OF STOCK ON HAND AT CLOSE OF 4) IF A FIRM, NAMES OF MEMBERS OF LICENSEE' S FISCAL . YEAR FIRM, AND IF A CORPORATION, PRECEDING LICENSE PERIOD; IF NAME OF OFFICERS OF CORPORATION NOT IN BUSINESS ONE YEAR, VALUE AS OF COMMENCEMENT OF BUSINESS) 9) GROSS FLOOR AREA OF BUSINESS NUMBER OF PARKING FOR BUSINESS I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLE D BELIEF. (LICENSES OBTAINED ON A MISIIZPRE,'MTAT OF MA RIAL FACT ARE NULL AND VOID) . SIGNED AS DATE TITLE OR EXPLANATION:- OF -� CONNECTION WITH 0VINER. CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION '7 BUSINESS NAME: P HONE BUSINESS ADDRESS: MAILIN G ADDRESS: DATE BUSINESS DID/WILL COMMENCE IN SOUTH NUAM1 TAX ID S.S. D.L. #: NAME OF PROPRIETOR, PARTNERS,OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS' PHONE: PROPERTY OWNER : PHONE: FO_R TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY: 'D5OUARF)- T- NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS'USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: , -D WELL THIS BUSINESS: t. BE A PROFESSIONAL, ASSOCIATION YES ll.�No A JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES 4 ; HAVE DOOR TO DOOR SERVICE YES OPERATE FROM A HONIE YES-, REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES NQ BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES RESTAURANT, BAR OF,NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVEDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL TE1E'AB,OVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE DATE OFFICIAL USE ONLY FEES USE: LICENSE CLASSIFICATION: C. U. USE-APPROVE- D'BY: DATE: TRANSFER ACCOUNT YEAR: PENALTY ISSUE DATE: BY: . 'OTAL CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: PHONE: - BUSINESS ADDRESS: MAILING ADDRESS: _ DATE BUSINESS DID/WILL COM[MENCE`IN SOUTH MIAMI _ TAX ID #: ��- �7 —lO. �3 S.S. #: -S D.L. NAME OF PROPRIETOR; PARTNERS OR CORPORATE/OFFICERS: EMERGENCY CONTACT PERSON: :ADDRESS: a`� _PHONE: f PROPERTY OWNER : PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: - SERVICE(S) TO BE RENDERED GROSS FLOOR AREA,OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: WILL THIS BUSINESS: BE APROFESSIONAL ASSOCIATION YES NO JOIN AN EXISTING OFFICE (IF YES, PROVIDE PROOF) YES NO HAVE DOOR TO DOOR SERVICE YES NO ,! OPERATE FROM A HOME YES NO REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES ��' NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO _ RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. ` SIGNED - .f ';'' 'TITLE f :'_-' DATE `OFFICIAL USE ONLY FEES USE: - , < LICENSE CLASSIFICATION: �'^ C. U. USE APPROVED BY: `I DATE: TRANSFER ACCOUNT NO.: ' - YEAR: '_ PENALTY ISSUE DATE: _ - BY: TOTAL ,�_oo CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APk ,:.i• 3143 6130 Sunset Drive, South Miami FL 3 11 IL 6 2004 f Phone:(305)663-6343 1 Finance Department = Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS BUSINESS OR APPLICANT NAME: PHONE: BUSINESS ADDRESS:ADDRESS: �� ` - -1�""��ih.a OLI S G��a-�C Z-/— II MAILING ADDRESS: G(� NAME OF OW RS (PR OPRI OR, PARTNERS OR CORPORA OFFICERS) DATE BUSINESS Vo)LL COMMENCE IN THE CITY OE SOUTH MIAMI: Tax ID#- S.S.#: _D.L.#: Emergency Contact Person: PROPERTY OWNER: (� PH0NF FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: ` SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: -�Z� SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED ' PARKING FOR THIS USE: ❑ YES �&O (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office�'(.�11.r�. `e ��.•aK/� >i i YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: YES ❑ NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) -�d–YES ❑ NO CY BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) L3 YESNO r` Note: Restaurants, bars or night clubs attach health certifica and liquor license. All applicants must provide proof of sanitation service:+. All Occupatio al License°s2e�c red er 36"of each year and all merchants are responsible for renewing L; there license a ch_year:°i a at I14 a above infor ation is true nd c rrect. i SIGNED TITLE{`C 5 t'c rC�" r•'a,j DATE -7/j/61 �Fl ,qF A xz.�a ��n '' 3'n��. ..'-_. x;...,. - r•scy!�x6 .r-�Zw'r��,',�,rird` ..ka'�XJ-r„r"s..!�.��r,'.:,i °<a i �.�,tr 'F-Y,:.G'i,7M 7�.� y�.`4: USE: 0 r ?1f�'.�'� , C % �& LICENSE _ s, CLASSIFICATION: ' `� i�=_ �1 'r /'y IL USE APPROVED BY: �– DATE: i < /. z TRANSFER i•j ; 1, / ) LICENSE NO: �, YEAR: / ( PENALTY ISSUE DATE: , BY: TOTAL �-1-4� CITY OF SOUTH MIAMI -171 f,7 APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of c Business business: '��G off_ phone: Street address of business: 7�CIC� ='ter'' j South Miami,Florida Suite f Products)to be sold or No. - r / service(s)to be rendered: Name of owners � Date business W-5 IL i° '/s of business: will/did commence: Tax Social Drivers ID# '�"L' security c �a -,4-,3 l�` License#-' C% ��.( ( �� If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: WILL THIS BUSINESS.,. Be a professional ❑YES Join an existing office? I Have door-to-door [3YES Operate from a home? DYES association? PKO ❑NO service? Q10 O Require state licensing? ES Require license DYES Be licensing fee exempt? [3YES If yes, ENO transfer? 0 QNd provide documented proof. Number es Gross floor area of Number of parking spaces � employees:. business facility: exclusively for this use: (includinq owners and management) FOR RESTAURANT, Number of Health certificate 5YES Will liquor DYES If liquor is served, BAR,NIGHTCLUB: seats orovided: � � A attached? ❑NO I be served? ENO I attach license. Person who will manage the business: LC', Phone: �'57 Address of above person: �� C <� � '�� 7L�`1 Z f/ C 6 ,c - -' - STREET CITY STATE IP CODE Name of 6 property owner 7-7 -L/W-SCe 7�� wk) C-" Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I .sq�understand that Iicenses obtained on a misrepresentation of material fact are null and void. SIGNED:_ _ / TffLE: i��C/rte�� ` '� ✓�/i' DATE: /I OFFICE USE ONLY - Account# �r/ ��'"� - Classification e� Year. G- /d Amount , Ap C/U Fee O'er Transfer �� Penalty Amount Use: C7G AC"ac' i vol" � , -: � CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use inspection Form with the B&:Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of �U Business business: ZH- phone: / 7 Lazo, Street address of business: '700 0,-St J �-2 4 (le-l-,16 r• - ,C. South Miami,Florida Suite Product(s)to be sold or No. /D service(s)to be rendered: /-:5'6 Gfl e! Name of owner Date business of business: - __ will/did commence: Tax Social Drivers ID# - i �// Security# License# If proprietorship,name of proprietor if partnership,names of partners ,, if corporation,names of officers: �11//UC-� >� L-�—, Z01-56--T, /�/GC/U5�,�tJ, WILL THIS BUSINESS... Be a professional I OYE$.. Join an existing office? ES Have door-to-door I OYES_ Operate from a home? OYES association? 0 0 service? .. Require state licensing? OYES Require license I OYES Be licensing fee exempt? DYES, If yes, iransfe>? 1ON-0— iQO provide documented nroaf. Number of Gross floor area of Number of parking spaces employees: business facility: - �G' exdusivel for this use: (including owners and mana ement FOR RESTAURANT, Number of Health certificate OYES Will liquor OYES If liquor is served, BAR.NIGHT CLUB: I seats Dmvided: attached? ONO be served? ONO attach license. Person who will iC `e manage the business: �� 3 1-4 aLS6 LL- Phone: Z Address of above person: t' l ��r y1/ } i�L�Z✓ { � / �L , /� STREET CITY STATE ZF CODE Name of property owner ' L�?J <T/ ,"�c , '/'�l Ll rlr/G / Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that Iicenses obtained on a misrepresentation of material fact are null and void. SIGNED: •� _ TM-E: 2L6�//�/L� CGT/5�r"C.Tzit/T DATE. O F F I C E USE ONLY, Account# ( Classification *�>! Year. Amount ZoQ C/U Fee .�,�. Transfer / Penalty Amount Y� Use: •Gt'G�� "t:"t`,`C'� rf� nr l �` -®� CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE �? required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Nameof Business ss ��/L c—/ J--3e-/L//7-6 phone.Z 77--3 business: Street address of business: �( South Miami,Florida Suite /fvi Product(s)to be sold or No. service(s)to be rendered: 6 /64-L— Name of owner_j-) ) Date business of business: ! /-66/�!'�/�S kkl L r75/',C j�l I- �� will/did commence: Tax _ _ Social ,, Drivers ID# �� /. h 6 4 Security# License# If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: , WILL THIS BUSINESS... Be a professional ❑YES Join an existing office? EYES Have door-to-door DYES Operate from a home? LMNO DYES association? PNO / ONO service? ,ONO Require state licensing? I MYES Require license OYES Be licensing fee exempt? OYES if yes, ❑NO transfer'? MONO FO provide documented proof. r Number of Gross floor area of Number of panting spaces employees: business faaT . � D�f� exclusively for this use: (including owners and mana ement FOR RESTAURANT, Number of Health certificate DYES Will liquor 17YES I If liquor is served, BAR.NIGHTCLUB: seats orovided: attached? ONO be served? ❑NO attach license. Person who will manage the business: 627(,Oie. IeCS E C�(,C Phone: O�-3 i-q Address of of above person: , "L� /!'�' ,/'C�7 2!=�- //� V STREET CITY STATE ZP CAGE Name of property owner ✓r G (�� ! i//� > Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: .% +>> TITLE: t�C/i!✓� � iiSGLC ,t/T—DATE: ��-Z� 7- OFFICE USE= ONLY' Accounf# 4��?,-2; Classification C� �® � Year A� d 7 Amount:�c>. L CAJ Fee / Transfer Penalty Amount Use: ,✓di .ana.�. 0�� CITE' OF SOUTH MIAMI -/�;7/ f7 lqy APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of _f ' Business �business: / l phone: I 7' " 4.! / Street address _ of business: ��C ��-Z=' �'� 4 South Miami,Florida Suite Product(s)to be sold or No. service(s)to be rendered: C41 C� Name of owner 1 `� Date business of business: f?�- /fit�l FMS 16161 �'"L5 261''W- &r/� C� Xr'7—-C'—) wilVdid commence: Tax / _ Social Drivers _ ID# r J X17 C%f! Security# 245 C%65� 4775 License#S�? If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: WILL THIS BUSINESS... Be a professional I ❑YES Join an existing office? U'S'ES Have door-to-door 1.0YES Operate from a home? OYES association? gM6- ONO service? 12KO f10 Require state licensing? jVYES Require license ❑YES Be licensing fee exempt? ❑YES If yes, ONO transfer? 0 -2140 rovide documented proof. Number of Gross floor area of j/ Number of parking spaces employees: business facili exclusively for this use: (including owners and management) FOR RESTAURANT, Number of Health certificate OYES I Will liquor OYES If liquor is served, BAR. NIGHTCLUB: see�ats`orooviided: attached? ONO be served?. ONO I attach license. Person who will manage the business: '`(, ' =G�� Phone: ��- Address of above person: 4Z-f-41-,11J1fX ''G4 Z!4 711-711A ; C' ,�� --L STREET arY STATE DP CODE Name of t property owner � i C - Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I a1 - understand that licenses obtained on a misrepresentation of material fact are null and void. 1 /� SIGNED' TM-E: c. i��tc�ATE-� `�`��`�' O F F I C E USE: ONLY - Aa:ount# ,7 © �� 1 Classification30® Year. ,� /,� - Amount: .i CN Fee Transfer � Penalty Amount '1 `� CITY OF &TH NIIA1l1I` OCCUPATIONAL LICENSE APPII AtION 1 ,,. 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343 f - Finance Department m_ Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS BUSINESS OR APPLICANT NAME: Z r "" V—A C.< �� rY�- a�, PHONE: 3 3 O�l BUSINESS ADDRESS: 2- r.y C V MAILING ADDRESS: h\ I r., NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE lid THE CITY OE SOUTH MIAMI: Tax ID#: -iu S.S. #: D.L. #: Emergency Contact Person: v-v\cw > C PHONE: -3ti °b .PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: f� PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: -V - MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: a GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ® YES NO (IF YES, SUBMIT COPY OF CONTRACT.) t WILL THIS BUSINESS: y JOIN AN EXISTING OFFICE: Name of office: or C44/1YES ® NO > BE A PROFESSIONAL ASSOCIATION: $�ES ® NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) Q YES ❑ NO BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation service:;. All Occupatio Licenses ex ed on September 30'h of each year and all merchants are responsible for renewing there license ac e 0 sr that�,the above inform is tree and correct. SIGNED / TITLE DATE e USE LICENSE Q-SC7 CLASSIFICATION: ; C.U. USE APPROVED BY: !1~='� _ DATE: tr' fi � -: TRANSFER LICENSE NO: � a�-!` @ &EAR: �1 PENALTY " ISSUE DATE: - BY: F TOTAL 4Q S"')( IV e 7/ CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLI IO 1 6130 Sunset Drive, South Miami, FL 3314k3 i f Phone: (305)663-6343 f ;<<; i r finance Department Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS O CHANGE OF NAME Please Print NAME OF BUSINESS BUSINESS OR APPLICANT NAME: Baptist T:=ealth South Florida PHONE: 305-779-4762 BUSINESS ADDRESS: 7000 Sn 62 Avenue, Suite 401 South Miami. FT '31141 MAILING ADDRESS: 6855 Red Road, Suite 600. Coral Gables, FL 33143 - Attn: Karen Godfrey VP NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) r-O"- � �' �r t :Ila Brian Keeley, Javier Fernandez-Lichtl, Ralph Lawson DATE BUSINESS WILL COMMENCE IN THE CITY OE SOUTH MIAMI: October 18 2003 Tax ID#: 65-0267668 S.S.#: N/A _ D.L.#: N/A Emergency Contact Person: Rosa Breijo PHONE: 305-779-4762 PROPERTY OWNER: Health South PHONE: 305-665-9880 wwww,kwwwwxwwwwwwwwwwrtwwwwkl`rt,rwwwwwawwrwwwwewwwwwYrwwwwwwwwwwwwwwwwwwgwwwwawwwwwwwwrwwwwwwwwwwwwwwwwwwwwwwwwwse w,rrv,wwxwwwxwwwwwwwwwwwwwwYtwwwwtrwwwwxwwwwwwwww FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: N/A SERVICE (S)TO BE PERFORMED: loot-for-Profit Administrativq, Pt Accounting MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: F-1 GROSS FLOOR AREA OF BUSINESS FACILITY: 4,294 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 10 (300 at facility) designated for our use DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ® YES 010 (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: v JOIN AN EXISTING OFFICE: Name of office: ® YES / NO v BE A PROFESSIONAL ASSOCIATION: ® YES 0Z O REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) q�ES Li N0 ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) fro YES ® NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation service:;. All Occupational Licenses eupired on Septe ber 301' of each year and all merchants are responsible for renewing there license ea i that Alle above information is true and correct. SIGNED d„ TITLE E/ DATE c ? ' R. ea -"' w : ni+ `nfif'.. ;r+.". r� a yrY" i s a ..'z »•y w ¢ r< j ;gym z.$.f t°,.. l y.. `,1 ' .: ..,,� 4Y .r,...... r��;+.-t:3'• � .�Y y,.,., �9 t�.>�.�. JF- "fir ;F�r j ,c,.�'P USE: .; C�� I� 1 ��— ) iIC�C`l.' 1�'('r4��cyeC _ LICENSE �.. CLASSIFICATION: G.U. USE APPROVED BY: DATE: C' TRANSFER LICENSE NO: C.�e. �� YEAR: d �/ PENALTY ISS E DATE: &—I BY: TOTAL �e i _ 19 1 6130 Sunset Drive, South MfamL Florida 33143 490 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this for* mast be completed and returned before a license may be issued. Name of person or persons who will Real name of pers'oh m—Anage, control or direct the business to be transacted in the -ome actress (� -Ft_ 3 City of South Miami : Zip �2 C2 eieonone number - 6} -fictitious name of person, rirm Nature or business of corporation (if one =s used) -76x'>0 s;&U, Cr�Z a-11-e' 400 ->OOT i t--t I A ` F�L— I � 3 Type of merchandise nanaiea, or -ocation or busingss ( separate license required for each location) Service rendered -eieonone number - `� date wnen b6si Hess :; j I commence In case of a .'rent "rm ; ccatea Mme c= : Her or buiiainc . n wnicn )utside me C:=i -OULn '`iami , , ,usiness is iocatec. state he date wnen ousin=ss covered by South I-'iami License will be commenced. ) a firm, names of members of firm, merchant; value of stock carried -nd if a corporation, names of (defined as cost value of stock on . fficers of corporation: hand at close of ' icensee's fiscal year preceding license period; if not in business one year, value as Of commencement of business ) : 5 ^ereby certify that the above information is true and correct, to the best _r :v knowiedge and belief. (Licenses obtained on a misrepresentation of material -pct are -.uiI ana void. ; , I I � P anec ii' i� -`lit. �'�� _ate ae :C -A -216 3 5 9 3 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BOARD OF COSMETOLOGY SEQ#L05083001141 • - LICENSE NBR a FB9711498 The FACIAL SPECIALIST,,-- ATTACH. Named below' HAS REGISERED Under the provisions of Chapter 477 FS. PHOTO HERS Expiration date: OCT 31, 2007 VILLEGAS, .VERA JEANNETTE 28740 DIAMOND .DR #202 BONITA SPRINGS FL 34134 Ire._ JEB BUSH SIMONE MARSTILLER GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY =gin, CITY OF SOUTH MIAMI . OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive,South Miami,FL 33143 �'i�;• -- .-h Phone: (305)663-6343 *Fax 305-663-6346 Rhance Department Check one: ❑ NEW BUSINESS 0 EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME ` � ` _ BUSINESS OR APPLICANT NAME: eP'f+ V 4 �`l �•�1�5 PHONE: c '_0 DBA: f� 1� Cl BUSINESS ADDRESS: X7000 6, W 6,2,411e �'�Q0 ��' r' �l�`�� 75 J r ADD ESS: 601 �� l I NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: S.S.#: . -11 2'7 C) D.L.#:�� i �'7�-� (/0-0 PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: F11 GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ • JOIN AN EXISTING OFFICE: Name of office: 'b-0• DYES ❑ NO ➢ CBE-A PROFESSIONAL ASSOCIATION: OYES ❑ NO REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) DYES ❑ NO 9 BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation servic All Occupational Licenses expire on September 30th 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 .(C4 Ur TITLE �S(YIQ TtL '�PNJ�rIV DATEUNC��_ f :�. -:.-at n re ..,^. *�.L, x ,..., sa.- +ut"�}. `F9CIA� .SEhIL ' `s � z �I' lS�° USE: TODID Mu- 5 LICENSE CLASSIFICATION: t7 3 C.U. USE APPROVED BY:: MWI- DATE: TRANSFER LICENSE NO: (9 /- oopoPQ 5 YEAR: v2001V07,'f',7 r,r, r_.RENALTY .-- T - --• -- ISSUE DATE: - 2 3 07 BY: TOTAL �� ..u�., 5`2 CITY OF SOUTH MIAMI OCCITATIONAL LICENSE APPLICATION 6130 Sunset Drive,South Miami.FL 33143 Phone:(30 )663-6343 * Fax 305-663-6346 Finance Department Check one: 'b NEW BUSINESS .4"'EXISTING BUSINESS :1 HOME BUSINESS ❑CHANGE OF ADDRESS :1 CHANGE OF NAME Please Print CORPORATION NAME BUSINESS L' OR APPLICANT NAME: P HONE: DBA: BUSINESS ADDRESS: q03 MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: A /1'7S _j jf�: " _'. , — D.L.#: -,,7 Tax ID#: S.S. PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT,OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES b,'NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: 1j: D YES tali NO > JOIN AN EXISTING OFFICE: Name of office: ;o BE PROFESSIONAL ASSOCIATION: DYES EZ1,-,NO > REQUIRE STATE LICENSING: (IF YES. PROVIDE PROOF) YES NO % >- BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES 'Q NO Note:Restaurants,bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire on September 301h of each year. All merchants are responsible for renewing Their license�,e�ach�year.-The City Of South Miami is not required to provide renewal notification. DATE TITLE SIGNED V i—,/\ �. pFRCIAL USE,ONLY ITEMS FEES USE: D NA 0`_S/(D [P1®46C,,I, LICENSE S.7 LASSIFICATION: 03 C.U. I USE APPROVED BY: MwL DATE: TRANSFER LICENSE NO: VXV YEAR: I,PENALTY ISSUE DATE: BY: ITOTAL Ck 7 CITY OF SOUTH MIAMI LOCAL BUSINESS TAX RECEIPT 6130 Sunset Drive,South Miami,FL 33143 Phone: (305)663-6343 *Fax 305-663-6346 Finance Department Check one: Ca' NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print BUSINESS CORPORATION NAME PHONE: cr� OR APPLICANT NAME: �1- �� ; DBA: rr� /t BUSINESS ADDRESS: 7 c'tJ S` C®�rJ A y ��' �� SO(..t_'t h )/)I t d MAILING S ea C. P! rL ��1 V2 ADDRESS: L1t?X �Ib �� '� ! C41'�t NAME OF OWNERS(PROPRIETOR,PARTNERS O(R�CORPORATE OFFIC RS) cc DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: �a D s-7 -3_-37/` D.L.#: 1,-YO Tax ID#:_��-5a<✓ © S.S.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: 1 DD SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: AD DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SI UIRED PARKING FOR THIS USE: ❑ YES �('NO (IF YES, SUBMIT COPY OF CONTRACT.) - � WILL THIS BUSINESS: ` �^`� ➢ JOIN AN EXISTING OFFICE: Name of office: /YE � NO ➢ BE A PROFESSIONAL ASSOCIATION: d'YES �❑ �� ➢ REQUIRE STATE.LICENSING. (IF YES, PROVIDE PROOF) Tke ➢ BE LICENSING FEE EXEMPT: (IF YES,PROVIDE PROOF) ❑ Y ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Local Business Tax Receipt expire on September 30`h of each year. All merchants are responsible for renewing Their license each ear. �djlyOf th Mi 1am�,i�'�is�not required to provide renewal notification. SIGNED J f�_—�� TITLE fit DATE . IGIAL,USEUNLY USE: 6O0 KA `! y LICENSE CLASSIFICATION: 09 C.U. USE APPROVED BY: M../ 1-- DATE: 1 av too TRANSFER LICENSE NO: �f �'` YEAR: � ® PENALTY ISSUE DATE: / BY: TOTAL Cif, �� a SO. MIAMI CLINICAL RESE 3056674698 CITY OF SOUTH MIAMI LOCAL BUSINESS TAX RECEIPT 6130 Sunset Dqrive,South Miami,FL 33143 �� PT° Phone:(305)6,53-6343 *Fax 305-663-6346 Finance Department Check one: ❑ NEW BUSINESS EXISTING BUSENES 3 ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print _ CORP RATIONNNAME Sc�vr� l l '� �� s'c�}at�t� PHONE: -66?- D BA: 9 BUSINESS ADDRESS: Ot1fJ �u%� ` 3. .�au�l� i!�'`�� F�O� ¢ 33I'`(3 MAILING f� ' ADDRESS: 1000 Irl i4l, t> 'h '�, S `y� 7K'•J. �}`lJ�lr k9��f/�/ f-G /iIGY - %�f3 NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF.SOUTH MIAMI: Tax ID#: 100"fir S.S.#: 2� �-g�7� D.L#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: `/MAXIMUM NUMBER OF EMPLOYEES INCLUDING O NERSAND MANAGERS: Fol GROSS FLOOR AREA OF BUSINESS FACILITY: ` ,? SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE:❑ YES NO (IF YES, UBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: �/ ➢ JOIN AN EXISTING OFFICE: Name of office: C3 YES C3 NO ¢ ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES C� NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES d NO =➢ BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES � NO Note: Restaurants, bars or night clubs attach health certifi to and liquor license. All applicants must provide proof of sanitation services. All Local Busine ax Receipt pire on September 30`"of each year. All merchants are responsible for renewing Their licensee h ar. The i O uth Miami is not required to provide renewal notification. SIGNED TITLE P � �!'�E�LrF DATE OF cIAL USE ONLY ITEMS FEES USE: Db �V' Cm4cLd Ott1 c LICENSE CLASSIFICATION: CIS C.U_ USE APPROVED BY: VJLVJ DATE: 11 O TRANSFER LICENSE NO: .—oc YEAR: f <./ r PENALTY ISSUE DATE: / F BY: TOTAL _ ' ...�,.y. ,, CITY OF SOUTH MIAMI � l LOCAL BUSINESS TAX RECEIPT Ck ._. 6130 Sunset Drive,South Miami,FL 33143 -.!. Phone: (305)663-6343 *Fax 305-663-6346 Finance Department Check one: El NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS HANGE OF ADDRESS El CHANGE OF NAME Please Print OR APPL CANT NAME: `� L CS PA BUSINESS HONE: DBA: BUSINESS ADDRESS: / 1/ L12 y o-Li 0 MAILING ` ADDRESS: NAME OF QWNERS (PROPRIETOR PART/NNERAS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: �` y Tax ID#: . 64 U.R,34'rfes.S.#: / y a 7` D.L.#: _-_ PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: I ! I GROSS FLOOR AREA OF BUSINESS FACILITY: L q I SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT,_EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of offi ce: ➢ BE A PROFESSIONAL ASSOCIATION: 0 YESa� ❑ NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ,., ❑� S3 Vic,t0 ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) �' ES ❑ NO s itation services. Note: Restaurants, bars or night clubs attach health certificate and liquor license. All appil, nfS��VrQoy de All Local Business Tax Rec . It expire on September 30`h of each year. All merchants are responsible for renewing Their license City South Miami is not required to provide renewal notification. SIGNED TITLE /' DATE OFFICIAL USE:x TOb MV-5 Cov-tnsel S'evV%C•ez LICENSE CLASSIFICATION: 03 C.U. USE APPROVED BY: DATE: Z 3o p°t TRANSFER 2O D LICENSE NO: In - 0 YEAR: PENALTY ISSUE DATE: I I I ro BY: % l TOTAL 2 MIAMI _ CITY OF SOUTH LOCAL BUSINESS TAX RECEIPT 6130 Sunset Drive,South Miami,FL 33143 '•'' .,= Phone: (305)663-6343 *Fax 305-663-6346 Finance Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS K CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print C� �/I V CORPORATION NAME �_ j LCSc� BUSINESS 7OV - / OR APPLICANT NAME: � , cJ (� BUSINESS ADDRESS: / ODC/ tCZ- 1y MAILING ADDRESS: r I NAME OF OWNERS(PROPRIET RS ORiCORPOj2ATE ODIC ) �. DATE BUSINPS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#:6 V 3 3 �7 il-S.S.#: —D.L.#: PROPERTY OWNER_.__ __ PHONE: �J ) FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: I/ I SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: O THIS CURRENTLY EASEMENT, E (CONTRACT)FO REQUIRED PARKING OR USE: El YES C3 NO F Y S SUBMIT COPY OF CONTRA m WILL THIS BUSINESS: �� 3 ➢ JOIN AN EXISTING OFFICE. Name of office: 0 8LYES T ➢ BE A PROFESSIONAL ASSOCIATION: 1QiAykS( ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ?,�,d - ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Local Business Tax Receipt expir on September 30'h of each year. All merchants are responsible for renewing Their license y r. a City South Miami is not required to provide Ireenewal notification. SIGNED TITLE �C-.� DATE �� gy. x r :} OF.,ICIALIJSE.,ONL`Y:. i r RCp �E f= ES Jm: .ef-�^Y .'% `I'i•'cIWa7., USE: l ODD MU-5 C ,-01;!s Seyvlctx LICENSE CLASSIFICATION: 03 C.U. USE APPROVED BY: NIw 1- DATE: I2 a° o, TRANSFER S� LICENSE NO: M C YEAR: /,,'rO PENALTY ISSUE DATE: ,10 U BY: J TOTAL �� 116TY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION 1` 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 finance Department Check one: O NEW BUSINESS EXIST114G BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE Please Print Y / CORPORATION NAME j e Fpre V � �� BUSINESS�a OR APPLICANT NAME: �.1 �� PHONE: BUSINESS ADDRESS: MAILING ADDRESS: NAME OF OWNERS(FROPP ETOR,PARTNERS OR CORPORATE OFFICERS),ZVWr-e V0,_- �Loi/n�A�J V- z ncj 6A DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: 7 eojggt3� S.S.#: D.L.#: PROPERTY OVER: _ PHONE:9&5- FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: Ft� la W E 20n GROSS FLOOR AREA OF BUSINESS FACILITY: SQU RE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: /� PLANW F(3 +Pv 72�1�� DO YOU CURRENTLY HAVE A COVENANT,EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: JOIN ANEXIST.ING`OFFICE: Name of oftice/r ➢ BE A PROFESSIONAL.P.SSOCIATION: / ..d� ,�,. <'YES ❑�,NO REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES ®'NO ➢ BE LICENSING FEE EhE:iV1PT: (IF YES, PROVIDE PROOF) IrYES ❑ NO s ❑ YES O-'NO Note: Restaurants, bars or night clubs attach health certificate anc liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license h r I swear that all the above information is true and correct. SIGNED �n TITLE ®,/ n DATE 4 3P�x.y •« e�,.T'k✓ t lily {'ll'. �.�` y�yp.y 'y��i..n.w 'j ,,yy�{ .i c?^?:n.t.`�`.Ar'{.:FL! .,:L'! �r, iii1SL'YtC/i7�'I��{i7rT°i"`t� .��SSW«��s`�C 7R' .��. S f �r,�+f.`r�t{.i� •}..•1 - •.;o USE: LICENSE CLASSIFICATION: _ C.U. USE APPROVED BY: DATE: S TRANSFER LICENSE NO: YEAR: PENALTY ISSUE DATE: } '_ } , � BY. >rrt TOTAL t CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE 5/ 71 1� ! . E tred'6v�Ciry Ordinance. f hereby make application for an Occupational License. I understand that this form roust be co 1 . `�wii}i'copies ofproofofsanitation services. I alpo understand that first time occupants ofany premises will be required tople completed and ' Ceriificate of Use Inspection Form with the B g Z Department. Separate licenses are required for each business location in the City.mPlete is `PLEASEPRtNT bus Name � ��i/ sue` vLj /�� Business _ f e C C- Street address �� phone: 'of business: suite `` Products)to be sold or South Miami,Florida No. . �7 r service(s)to be rendered: X--'9�6 / (�,4. Name of owner of business: 4161 L%tS.e� �2 J Date business Tax c/ =al WilVdid commence: ID# Security# -��j/. L^ Drivers If proprietorship,name of proprietor License# if partnership,names of partners if corporation,names of officers: WILL THIS BUSINESS... Be a professional QYES Join an existing office? ES association? O ONO Have door-to-door QYES Operate from a home? QYES service? NO -E7t�0 Require state licensing? ,,7YES I Require license QYES Be licensing fee exempt? QYES. If yes, ONO transfer? j10 NO rovide documented oroof. Gross floor area of Number of parking spaces Number of business facility: exclusively for this use: employees: FOR RESTAURANT, Number of inciudin owners and management) BAR.NIGHT CLUB: seats orovided: L/C(� Health certificate QYES Will liquor OYES If liquor is served, Person who attached? ONO be served? CI YES attach license. will / � ��/ L manage the business: Lir�e14 Phone: 7 Address of of above person: STREET Name of CITY property owner r' ``.. STATE aPCODE FOR TRANSFERS,LIST Phone: THE PREVIOUS: Business name: Owners: Address- I hereby certify that the above information is true and correct, to the best of my know ci -understand that licenses obtained on a misrepresent f. ation of material Fact are ledge and belie null and void. SIGNED./ ` TM-E: ,` ECG// L(l 7-DATE: OFFICE USE Accouni# �' �� Year. % Classification d • oc CN Fee Amount: Transfer °�� Penalty Use: �� r Amount G� � I n4 � MIAMI OCCUPATIONAL I l � �C Y OF SOUTH L LICENSE APPLICATIOI��G BUSINESS NAME: t M,,<—k f � "al��.- -�►�(c BUS, PHONE: ADDRESS: � ! t l t DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI TAX ID #: 6S-C'fO q331 S.S. #: D.L. #: ' NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: r= ( 11 r EMERGENCY CONTACT PERSON: _ ��2 ADDRESS: ,) C,-'-L t PHONE: PROPERTY OWNER :jl:L' j-1 I l_,'C PHONE: C, FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: ,�' G SERVICES) TO BE RENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY: NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: SQUARE FEET NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES JOIN AN EXISTING OFFICE (IF YES, PROVIDE PROOF) YES NO ✓' HAVE DOOR TO DOOR SERVICE NO YES N0 OPERATE FROM A HOME = REQUIRE STATE LICENSING IF YES, YES NO ( PROVIDE PROOF) YES BE LICENSING FEE EXEMPT(IF YES, PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED �� (� r / r r v /) TITLE �'�t(� DATE 11 l E OFFICIAL USE ONLY / � FEES (C � f G _ CLASSIFICATION: LICENSE Ate. USE APPROVED BY: 0 (J DATE: TRANSFER ACCOUNT NO.: r � �'} PENALTY ISSUE DATE: �` J BY: TOTAL � CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: PHONE: BUSINESS ADDRESS: MAILING ADDRESS: _. DATE BUSINESS DIDAN'ILL COMMENCE IN SOUTH MIAMI TAX ID #: . ..: —; S.S. NAME OF PROPRIETOR., PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: _ ADDRESS: 1 `' PHONE: — PROPERTY OWNER : _ _ — PHONE: VFOR'IRANSFF]LIST 1"REVIOUS VALID LICENSE NO. PRODtJ0(S) T,Q-4� SOLD: — =SERV KE(S) TO BE RENDERED: �OROSS,FLOOR,ARF-A OF BUSINESS FACILITY: _ SQUARE FEET NUlvl3;r OF P.AItK'NG SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: _ r D -. -WILL'PHIS BU81NESS: :BE APl AQFESSIONAL ASSOCIATION YES_ JOIN;,Ai 1-EXISTINTG OFFICE (IF YES,PROVIDE PROOF) YES NO _ , iAV iy00R T01)C�OI SERVICE YES NO OPERATE FROM A HOME YES NO `.. REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES NO ' MPT (IF YES,PROVIDE PROOF) YES NO BE LICENSING FEE E� " RESTAURANT, BAR OR INTIOHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED ! TITLE DATE OFFICIAL USE ONUS' FEES USE: LICENSE CLASSIFICATION: _ C. U. USE APPROVED BY: DATE: TRANSFER ACCOUNT NO.: - YEAR: PENALTY ISSUE DATE: BY: TOTAL n�� i �, r .. . � . � _ _ CIVE® CITY OF SOUTH MIAM JUN 2 6 2008 OCCUPATIONAL LICENSE APPLICATION �� :r 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 % Irtment rE..��3►' €�k :�,. F, W¢ I BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF A DRESSt�❑ CHANGE OF NAME W w iE °° � c � \ BUSINESS.. �r.-,s,-�..,.�v.o......... LL z m E: �l]�Y1 'C��C�fEdO S�eL�Q� � �_�CISI �0 _PHONE: LLJ w Q -'--�- I (D o a eci\-�� e0.S�C 'l e�-SV�q�co�Poi a N 3: 7DO1� �IA� l�7AttP. Pen�tln,�SP � , 7Yl�ami �L 33t�{3 Q in 2 20PRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#:Zo- 155 9 9 5 S.S.#: D.L.#: PROPERTY OWNER: Cap -iore Cp%a -� )•\ T u5 I u c-- r---� PHONE: yy FOR TRANSFER LIST PREVIOUS VALID LICENSE NQ: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: e r y I ,eS MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: 2700 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 2 DO YOU CURRENTLY HAVE A COVENANT,EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES 1'8(NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: yy JOIN AN EXISTING OFFICE: Name of office:C"VL,61,�f� .k i✓ YES $f NO _ BE A PROFESSIONAL ASSOCIATION: ❑ YES 21 NO D REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) > YES NO - i BE LICENSING FEE EXEMPT: (IF YES,PROVIDE PROOF) ❑ YES NO Note: Restaurants,bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expire o September 30`h of each year. All merchants are responsible for renewing Their li�ea:c�h he Cit y f Sout;Miami is not required to provide renewal notification. SIGNED �'� TITLE �A/� !X2/2 DATE r USE 0N) U-'5 C .Mekcd ® '(4) LICENSE _ CLASSIFICATION: 0,6 C.U. USE APPROVED BY: Mvj LA DATE: Zg Q SI TRANSFER e_ LICENSE NO: G 3 YEAR: PENALTY 17/9 � ISSUE DATE: — BY: r TOTAL i i CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami,FL 33143 Phone: (305) 663-6343 *Fax 305-663-6346 Finance Department Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print �V�/�1 /�Al►,nIR "effI/ �/,G BUSINESS NAME OF BUSINESS OR APPLICANT NAME: )6 OSt' 6&4 � 9 kooG 9D c J �cP,H_ONE: ,30.5) (ob"7-S-V r BUSINESS ADDRESS: 00�J 6aNJ1 �•. (0 SD / I/tt�mc, 3 3�L�� MAILING 0p � � D / , AiYT lOuse � 3 3 I ADDRESS: k NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: 1 -J- 3 97 9 (95q S.S. #: v D.L.#: Emergency Contact Person: L3, LL �ji['ck�jE 12, PHONEt305) PROPERTY OWNER: %�—Ge a4i,,tn PHONE: 1..3 SO ") Tcy FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: N /� MAR 0 4 2005 PRODUCT(S)TO BE SOLD: 1 I _ SERVICE(S)TO BE PERFORMED: R_My / 7S0&Lwce MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: F71 GROSS FLOOR AREA OF BUSINESS FACILITY: 00 Ll- SQUARE FEEL" NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES 0 NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ❑ YES a_�O ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES U-NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES ®--110 Y BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES U-No Note: Restaurants, bars or nightclubs attach heal ff� e and liquor license. All applicants must provide proof of sanitation services. All Occupat' nal t xpi d on Septe©b�Qtn each year and all merchants are responsible for renewing their licen eac e r that all the above i for ti s true and corre SIGNED t! '"i TIC L �it f ' /Grl DATE yY�• �J USE: \ LICENSE ti CLASS IFI ATION: C.U. US APPROVED BY: _ t� DATE: _ TRANSFER / LICENSE NO: Sty YEARN C) PENALTY ISSUE DATE: 0.5 BY: I� TOTAL 77 —5� �-�/25 (S(9�_ j5 lZ Lr -TAI -Zr)N (*j ,�f� j Cioy of SouQi Miami 19 8�®19 8-1- 6130 Sunset Drive,South Miami,Florida 33143 1 } APPLICATION FOR OCCUPATIONAL LICENSE s auired by Chapter 13, Article 1, Section 13-1, of the Code of { of the City of South Miami', I hereby make application for an it License. I understand that this form must be completed and 'efore a license may be issued. It SOOt _- Y✓4•-E) 5) Name of person or persons who will .me of person manage, control or direct the business to be transacted in the City of South Miami: Home address Lip Telephone number 5_ 2) �U.+l 5"lu \ Iii 6) ictit ous name Or person, Tirm Nature of business of!corporation (if one is used) 7DD0 b? Si!fie Sc:,ic L,50 Location o business separate \YPe o mere an ise an ed, or license required for each location) Joa-7),5 S:J-vi i GC•1-li SO Service rendered Telephone num er 7) 2 O ) c•�j 3) ItiU �`cx � `rte ate when business wiil commence (In case of a Parent firm located Name of owner of building in which outside the City of South Miami, business is-located. state the date when business r covered by South Miami License will be commenced.) I 4) If a firm, names of members of firm, g) If merchant, value of stock carried + and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; if ` �O ��✓ not in business one year, value as of commencement of business): I • i I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) /J Signed As Title or,.exp anat on of connection with �1 a:,00-,„C,;.,_z7-82 business. 5-3i D�/aQO �Fk/s e 1117 Fc� c'0 61,30 Sunset Dne South rtiami,E3orida 3-11,3 kolf (j IPFLICAUION F--�; OCCUPA.-ZONAL LICENSE As required by Chapter 13, gricie 1, Section 13-1. Ordinances of the City of South N`-1,, I hereby cake app` -^- Occupational license_ I underst_ that this for•ar, must t 5C" � a returned before, a license .Tray be r_>ued. 1) Nsc 4tA Vy�FI� �G—s� � 5) 1;ame cr perscr �� i 11 nc7tL R eal name of person manace, ccr business tc Cit_ of Sor home ad ress Zip Telephone number 2) Paula Sparti, M.D., P.A. 6) _ Fictitious name of p,rson, flrn Nature c- busiress of corporation (if one s usedjc 5�' �or�`�a A, �',e �� type of uerch.ar._ise handIEd, or Location of business separate license required frr each locaVvn) Service �nde'r�d _ Cn(nl Telephone nurxer 7) Date i on busirlzss will ccm,ence 3' (In, case of a Parent firs. locat4i «a we of owner of building in whid'; outsid= tha City of South Miami, business 1,S looted. state tine d-te omen business cov?r-e by S_;th Miami ;icense will be co.:—yced.) 4) If a firm, names of ua:rbers of f1,,� g) If morshar.t, VEIL-2 Of store carri•_t and if a coryoraeian, names of (cer'io>ti as cost value cf s'tock :n officers of corpor-ration: harat close of licensee's fi.sczI year preced-ir< license j,;-riod; if not in busimess one year, value is Of COMence*-ent of business): c I hereby certif-A that the ah!s;e info..ation is true ar.•d correct, to tn,=_ lest of my knowledge aM_ b=lief. (Lica,es obtained en a misre,resentatio-. rtF-ia1 fact are null and rlji-'.) + ` Si g red �5� t Date �L� Michael Wohlfeil r, M.D. As 1t.E or czp I ak-aIIlior! o Co2t1"{t On wen Lutiness. 4.1qu of Smth ITNO{ami X31526 6130 Sunset Dr.South Miami,FL 33143 DATE: :'y-u�-�- 667-5691 FORYR.: xy9L-1Jyx NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE / You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occupa- tional license for the classification and in the amount stated herein,for the period ending: ;EI":it t E K 3u, i.0 yl v>;t.ERAI i.:I:I.C11,t,1V;' NEL $0 ii.(iu Account Number Ito-uifts liI:,DILU E DI `lIt,OBUJ'URS, IIVC. , BB LICENSE TAX PAYADLE Al OFFICE Or TAX 70vu :>f' OG AVE. nO:lu COLLECTOR.CRY OF SOUTH MNMI,ON OR MID BEFORE 11_.,1:-.r FU SS143 OC100ER OCTOBER 01 PENALLY NOT FOR TI1C MONTH OF OCTOBER AND A i+PENALTY FOR EACH MONTH Or DEIINOUENCY THEREAFTER WILL BE ADDED,AS REOUIREO 13Y MUMCML CODE - OF SOUTH MIAMI MAKE CHECKS PAYABLE TO CITY OF SOUTH MlAldl , —.. _ ---.-.•+....�-v.-y�-i--�trlrvT-"'pe1'�u1rS'-l�InD'Wl-Il".—�_ Real name o person manage, control or direct the 50,4.5 5e,J e0a IP40E 3 )55 business to be transacted in the -otne atidress' Zip City of South Miami: �5- WA-G53P) A2—EW DPI, "eieonone number l,�I l ()2D5 d715T�I�U i5 11`Y,. 6) SR LE7 - !�i zrDi/ �o tctltlous name of person, firm — tlature oT bustness of corporation (if one is used) ��/�LTH P2n�, GTS 7� � (02 A0 E (n 50 Type of.merchandise ranaled, or _ocation of usiness (separate license required for each location) _Vf 779d 1 iiJS !)�iA BLS AJ�2/STS Service rendereti 1p(0-1-57o2Q� or (o(oI- I ISo "eiepnone number ✓q5 Srt?J f}s r G ✓C�J� SuBCE7 FpppFl Date wnen business E: i 1 =orttmence 7�ST ICJ)l SP i+MVp� "n case of ? _arent 'irm :ocatea -Ame cc :•,rner of bu?la ina to wnicn outside *ne I ::J ?* `outr. "iami, ausiness is locateo. state :he date wnen ousir_ss covered by South lAiami License will be COmmencea.) - ` a firm, names of members of firm, ?) If merchant, value of stock carried and if a corporation, names of (definea as cost value of stock on ;.rficers of corporation: hand at close of licensee's fiscal p/�FS year preceding license period; if s��LF2E1� DLI - 1I�E�T not in business one year, value as Of coaenencement of business): S hereby certify that the above information is true and correct, to the best :f my knowledge and belief. (Licenses obtained on a misrepresentation of material -:ct are null ano void.) Sitined =ate_ As �� 6130 Sunset Dr. South Miami, FL 33143 DATE: LIC.NO }, — — f? 667-5691 FoRYP.: L=�{ ;—_99 j NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occupa- tional license for the classification and in the amount stated herein, for the period ending: P F -j-- r 061j,'rJV PH,YS-7C x.AN, � iaR_�oLf 0. � Account Number 7. 4 - - - LICENSE TAX PAYABLE AT OFFICE OF TAX . - COLLECTOR, CITY OF SOUTH MIAMI, ON OR I BEFO OCTOBER 1ST. IF NOT PAID BY 't„�--- � r= - // O R 0° PEN�Y FOR FSfE lVNTH r .ie s'�aR`av i� / CT E A /o PENALP Fp2 EACH ✓QNTH OF If U f�-,„B- 4LL , FFF22I �D! i, C7.>,=;,�. r.••, ...,,: /' O MI UIR IP ODE E GDE QS cC BY MUNIC -- � � F SOUTH MIA 1 s 1'yi ALE70•CITY OF',MAKE CHECKS PAY— O .... ._ .._. <. ... ...., TH1JIAMI c�l e _ 1 l•� � C i t:,s Hor, address Zip Telephone number Paula Sparti, M.D, P.A. T Fictitious nave of rerson, 'fir r t turl., c- bus ir-ess ' of corporation (if one -s used" Type of iaerci iEn4< i se handled, or Location of busiress separate I icense required for eacfo .locaVusn) SerOce -endE.rec Telephone nurt>=r 5�. �° 7) C.mac; Date r&ber bus-i nzss will coo hence 3' l( �v (in case of a parent fir,,. lo`at.ej N-ame of owner of building in whiff outside th-S City of Soy" 1: Miara;, business is located. state the dmtE vehen business covsrelf by Miami License will be' co<, nce•d. ) 4) If a finni, names of Pkezbers of fi , S) If rrerrhar;:t, vale- of stocL carries; S, and if �y,r .�r�4x �.. '`.c. n .:` c =y� 4I�1 �., -.F a i.�:+�Y n- v .: .. �: .. .. ti� 'i.♦ 2 L.Uf V.. ,Lie officers of cor ration_ hand at clase of licensee's fjSal year preced-irm license 'period; if not it Ibusirness one year. value, is of camnencerze t of business): I hereby Certify that the atme infocz�?,tion. is true ardd correct., to thtA- Est of my knowledge are? belief-_ (Liar ses obtained osn a .mr,_Pr:Tesenta:ick-. of c-�tc°ial fact are null and SiCrrd Nelson Ferrer, Date 'C. ! As i e or e ar °io::� c0a"ne"L on With business. 03 00/ '.T Ci� ii 19 _.__®19 - 6130 Sunset Drive. South Miami. Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) -KAE-C-:k-) OL 11� 5) Name of person or who will ersons Rea name of person P it manage, control or direct the 6D a _ business to be transacted in the E- City of South Miami : -ome aadre,,-,s lip _ SOS- Co(A - q 5 _5 e3 eiepnone number L O 205E. 15 ED BL)TD(Z-S Tnc 6) H L -ictitious name of person, rirmTH � 2ot�rT� Nature or business of corporation (if one is used) -TOGO _az 109, Ph)e- # 650 P1 II) A LS \) i TRr A 10,25 _ocation of bustness (separate Type of merchandise randlea, or license required for each location) SP�L_ES (o Co I - I 1 50 Or (9(D1 _ 572_S Service renderea e'epnone number NS ScOk) PtS � G�1 Pt •LI�S� S°",�-� S'- I�r�N� Date when business commence ; In case of a parent `;rm locatea -.;me c. _wner of buiiaino_ in wnicn outside *ne C; i _f -outr ''iami , :usiness is locateo. state :he date when eusir=�s covered by South laiami License -will be conmencea. ) a firm, names of members of firm, �.) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on ;:fficers of corporation: hand at close of Iicensee's fiscal year preceding license period; if �Li � � S1DE11 not in business one year, value as of commencement of business ) : g Less -�-(�6-Al r vc ^ereby certifv that the above information is true and correct, to the best _f my knowiedge and belief. (Licenses obtained on a misrepresentation of material -!ct are null and void. ; Si oned �. ate y q A s (L.�S �►�"— — BQa�f of soenlffi-D LIC.NO.: 003102 , f" 6130 Sunset Dr. South Miami,FL 33143 DATE: 1.C, 09./':"4 663-6300 FORYR 1.9"y.--1.99`-`: r7O/U NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE ' fou are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu- {, pational license for the classification and in the amount stated herein,for the period ending: ;,Ep-I" PROF. a={'c ti iJi:T.r',-f ILO hI -:+_i Cl.ou Account Number !i `-+, -7000 �`, (=11j= LICENSE TAX PAYABLE AT OFFICE OF TAX COLLECTOR.CITY OF SOUTH MIAMI.ON OR ';x:17,�{[. f:1`:11.1 BEFORE OCTOBER I ST.IF NOT PAID BY OCTOBER 1,A 1 M.PENALTY FOR THE MONTH OF OCTOBER ;i() fM1 I(irt}. I" AND n 5% PENALTY FOR EACH MONTH OF _ DELINOUENCY THEREAFTER WILL BE ADDED.AS REQUIRED BY MUNICIPAL CODE OF SOUTH Mr MAKE CHECKS RA\*FiB11*%CITY OF$OUT('1 MIAMI IN THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE =m==m=HOME ADDRESS�_�r —� _ _ — (� ra r o rJ�e,a I�£� c ��,o 7 �r f r FI_. 33 I u Z CITY, STATE, ZI O _ TELEPHONE NUMBER 6) NATURE OF BUSINESS 2) AJ0 f� FICTITIOUS NAME OF PERSON, FIRM TYPE OF MERCHANDISE HANDLED, OF CORPORATION (IF ONE IS USED) �A /� r°/14 1`f 11 OR SERVICE RENDERED LOCATION OF BUSINESS (SEPARATE LICENSE REQUIRED FOR EACH 7) LOCATION DATE WHEN BUSINESS WILL COMMENCE (IN CASE OF PARENT -," � FIRM LOCATED OUTSIDE THE CITY TELEPHONE--NUMBER - OF SOUTH MIAMI, STATE THE DATE WHEN BUSINESS COVERED BY SOUTH MIAMI 3) �F/SSc.vhovn. �,tv r�-r, r T COMMENCEDLICENSE WILL BE NAME OF OWNER OF BUILDING IN ) WHICH THE BUSINESS IS LOCATED 8) IF MERCHANT, VALUE OF STOCK CARRIED (DEFINED AS COST VALUE OF STOCK ON HAND AT CLOSE OF 4),t IF A FIRM, NAMES OF MEMBERS OF LICENSEE'S FISCAL> YEAR FIRM, AND IF A CORPORATION, PRECEDING LICENSE PERIOD; IF NAME OF OFFICERS OF CORPORATION NOT IN BUSINESS ONE YEAR, VALUE P,? p AS OF COMMENCEMENT OF BUSINESS) DAv h \1A0-wA+- Fxec.. \!, $ 9) P_n.c� A S i Se C GROSS FLOOR AREA OF BUSINESS' S c'1 NUMBER OF PARKING FOR BUSINESS I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. (LICENSES OBTAINED ON A MISREPRESENTATION OF MATERIAL FACT ARE NULL AND VOID). SIGNED SIGNED. a.�`. AS C/ ..r .Pn ( �•u- i-.zL�Cto_1: DATE° 9 TITLE' OR EXPLANATION-OF CONNECTION WITH OWNER fc�r A i 'c71 of... NAME OF BUSINESS: {�IChQrC� �xGC{J/n10 �� U. '7x' tTS 'C}RTT.SC i i v IFei chalxla i m�- AccoUNT �'? U CLASSIFICATION � i1iCy ....:...... STREET ADDRESS OF BUSINESS: ., '7UDQ 5-U)..(vand A✓e SLife 650 xeax:=..z 9:3 . 9a.....z�........:........ .: South Miami, Florida Separate licenses are required for each busine ss location i n the City....P..E..I.d.A.. .........i.i.i......i.i.1.4.T....f.. T ...........,..... ..1 i _ BUSINESS PHONE: PRODUCT(S) TO BE SOLD OR NAME OF PERSON WHO WILL MANAGE, SERVICE(S) TO BE RENDERED: CONTROL OR DIRECT THE BUSINESS: IYledi�ccQracf��e Laurie TfY) .Pt- STREET ADDRESS OF ABOVE PERSON: NAME OF OWNER OF BUSINESS: woo S.w. (oanCJ fi1/,e Sate l50 SOU--h Dad-L Na1ft(wL-. (x CITY, STATE, ZIP CODE: DATE BUSINESS WILL/DID COMMENCE: "a w l 33/Y3 Ili h Si0anS HOME TELEPHONE OF ABOVE PERSON: 305-19 -0301 PROPRIETORSHIP, NAME OF PROPRIETOR IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PROPERTY OWNER: IF CORPORATION, NAMES OF OFFICERS: Aea(4-h.5oa#i �ektQiI�'f�� (d FPHONE OF PROPERTY OWNER: FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS... YES NO NUMBER OF SEATS PROVIDED: BE A PROFESSIONAL ASSOC.? ✓ HEALTH CERTIFICATE ATTACHED? JOIN AN EXISTING OFFICE? WILL LIQUOR BE SERVED?* HAVE DOOR-TO-DOOR SERVICE? *If liquor is served, attach license OPERATE FROM A HOME? FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE STATE LICENSING?* i VALUE OF STOCK CARRIED IN DOLLARS: REQUIRE LICENSE TRANSFER?* �u.u�e..o.t..i..oe.cxk m,ew..m«.oe uw«.u...i r•« BE LICENSING FEE EXEMPT?* n«minv ii.ev.wi-I eo..v r,it nat in w.i—en.r«r,v.iu•« oe o®.nn..nt oe w.in«a� * If yes, provide documented proof FOR TRANSFERS, LIST THE PREVIOUS: GROSS FLOOR AREA OF oo BUSINESS NAME: BUSINESS FACILITY: NUMBER OF PARKING SPACES OWNERS: EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES: 1a ADDRESS: I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A MISREPRESENTATION OF MATERIAL FACT ARE NULL AND VOID. City of South Miami f 1/L/C BUILDING & ZONING 7f � a �� APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13 , Article- -1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license my be issued. 5) NAME OF PERSON(S) 'WHO WILL 1 ) /` -�' # ``� MANAGE, CONTROL OR DIRECT THE REAL NAME OF PERSON ON BUSINESS TO BE TRANSACTED IN THE CITY OF SOUTH MIAMI: HOME ADDRESS k f R ��31 %✓1 t r > 33 Li CITY, STATE, ZIP TELEPHONE NUMBER 6 ) _1?� cf; ; ;� L Do, NATURE OF BUSINESS FICTITIOUS NAME OF PERSON, FIRM TYPE OF MERCHANDISE HANDLED, OF CORPORATION (IF ONE IS USED) CL OR SERVICE RENDERED LOCATION OF BUSINESS (SEPARATE LICENSE REQUIRED FOR EACH 7) LOCATION DATE WHEN BUSINESS WILL 3o _ COMMENCE (IN CASE OF PARENT ~ �� FIRM LOCATED OUTSIDE THE CITY TELEPHONE NUMBER OF SOUTH MIAMI, STATE THE DATE WHEN BUSINESS COVERED BY SOUTH 3 ) (jE I SSCh�hyY4V C-v ,it ��nt-�'s�s T MIAMI LICENSE WILL BE NAME OF OWNER OF BUILDING IN COMMENCED) WHICH THE BUSINESS IS LOCATED 8 ) IF MERCHANT, VALUE OF STOCK CARRIED (DEFINED AS COST VALUE 4 ) IF A FIRM, NAMES OF MEMBERS OF OF STOCK ON HAND AT CLOSE OF FIRM, AND IF A CORPORATION LICENSEE S FISCAL YEAR NAME OF OFFICERS OF CORPORATION PRECEDING LICENSE PERIOD; IF NOT IN BUSINESS ONE YEAR, VALUE AS OF COMMENCEMENT OF BUSINESS) 9) �o .GROSS FLOOR AREA OF BUSINESS NUMBER OF PARKING FOR BUSINESS I HERE ERTIFY THA THE ABOVE INFORMATION IS TRUE AND CORRECT, TO BEST\OF MY OWLEDGE AND BELIEF. (LICENSES OBTAINED ON A MIS ' PRESENT TION F MATERIAL FACT ARE NULL AND VOID) . iIGNED v AS %TE --2-- /- — TITLE "OR EXPLANATION-- OF CONNECTION WITH OWNER ACCOUNT # / - STREET ADDRES§ OF BUSINESS: . CLASSIFICATION # [J�Q Q %ut S,II). -nd SUS}e 0 YEAR _1992/93 AMOUNT $ South Miami, Florida j ' Separate licenses are required for each business location in the City. PENALTY $ PMJUNT ,; BUSINESS PHONE: (o( -��3C7 USE al SERVICE(S) TO BE RENDERED: INAME OF PERSON WHO WILL MANAGE, ROL OR DIRECT THE BUSINESS: P .r1( 1,SI'6005 1 its EDATEBUSINESS NER OF BUSINESS: STREET ADDRESS OF ABOVE PERSON: TV() 5•u).tr W Ne So i+,, 6,!30 Eftie& Mcg.�L CITY, STATE, ZIP CODE:WILL/DID COMMENCE. +� Si)tl� �a.v I, -1 '/Jr'wiOu/,IJ 6io�0,0,5 HOME TELEPHONE OF ABOVE PERSON: 305 '7�G—n3�i� PROPRIETORSHIP,, NAME OF PROPRIETOR IF PARTNERSHIP, NAMES OF PARTNERS NAME. OF PROPERTY OWNE IF CORPORATION, NA14ES OF OFFICERS: ' lfi'1� h'�I re PHONE OF PROPERTY OWNER: (�5_Ci��Cj FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS... YES NO NUMBER OF SEATS PROVIDED: BE A PROFESSIONAL ASSOC.? ✓ HEALTH CERTIFICATE ATTACHED? JOIN AN EXISTING OFFICE? WILL LIQUOR BE SERVED?' HAVE DOOR-TO-DOOR SERVICE? *If liquor is served, attach license OPERATE FROM A HOME? I/ FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE STATE LICENSING? VALUE OF STOCK CARRIED IN DOLLARS: REQUIRE LICENSE TRANSFER?' BE LICENSING FEE EXEMPT?' .t°°i°°°r.talk."h—d at.i..°°:ii°. f1°c°3 year pc°c.dinp "...°. p.t.(°d, h...v. if not i. * If yes, provide documented proof .........."t FOR TRANSFERS, LIST THE PREVIOUS: GROSS FLOOR AREA OF BUSINESS NAME: BUSINESS,,FACILITY: g000scl.F[I NUMBER OF PARKING SPACES 1i EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES: � 7 ADDRESS: EREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST DIY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A EPREIS,-,E�NTATION OF MATERIAL FACT ARE NULL AND VOID. TITLE: 1y11) S�iZA)"(�s�C�LtY1 DATE: � 1-(n l3 1 a/fl cc ppe�CL4 t3vN � � .. °•, i i, �` i 1 I �� . .? .. f I 6130 Sunset Dr. South Miami, FL 33143 DAT E: ; ;<-;,_:: 667-5691 FOR YR.: `\ _ __. NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occupa- tional license for the classification and in the amount stated herein, for the period ending: ;;;_,.> Account Number I t,t,_�•;,- �' {�}1_f - LICENSE TAX PAYABLE AT OFFICE OF TAX'' •- COLLECTOR, CITY OF SOUTH MIAMI, ON OR _ ,°1�Y� �Jr� BEFORE OCTOBER 1ST. IF NOT PAID BY �� "�}`''`° OCTOBER 1,A 10%PENALTY FOR THE MONTH •'L - I t`'lwt'#�' L OONOTHTOPEDELINQUENCYPTHEREAFTOER WILL BE ADDED, AS REQUIRED BY MUNICIPAL CODE OF SOUTH MIAMI. MAKE CHECKS PAYABLE•TO-CITY OF SOUTH-MIAMI ��—City of�South-Miami : Home address Zip � 5 ) _1-e1_ephone__num er- 6) °Ficti.tious name-of-person;fi-rm 3- == Nature of business of corporation (if one is used) � -7000 S p e Q Jam5ii0 Type of merchandise handled, or Location of business separate license required for each location) <;UV%Ce-Cs- '305) Gb- , oo, 5 Sery ce rendered elephone number 7) Date when business will commence 3) � reltC�. 1 (In case of a parent firm located game of owner of buildi g in whi h outside the City of South Miami , business is located. state the date when bustmess covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal Mmkyear preceding license period; if �DG'Sylar, not in business one year, value as ,^^� of commencement of business): Je,lt'- T t� $ MaA 60a I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) Signed D21-1"O-Ql� ► DatelcAzq�ss As d Title or explainatio of confiection with business. M C , CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICA'I`:IR-1�t..�: 6130 Sunset Drive, South Miami, FL 33143 .� Phone: (305)663-6343 F'IN NCE DEPT. Finance Department Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print d BUSINESS n NAME OF BUSINESS Ll�'- ; � /� PHONE: `apt OR APPLICANT NAME: Cam. BUSINESS ADDRESS: r MAILING /cf ADDRESS:- NAME OF OWNERS(PROP TOR, PARTNERY OR CORP RATE OFFICERS) DATE BUSINESS WILL COMMENCE 114 THE CITY OE SOUTH MIAMI: Tax ID#: � o' Z S.S.#: �"4 0 �'-J > T D.L. PHONE: Emergency Contact Person: i6'��L �— PROPERTY OWNER: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 131 GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED ~' .;PARKING FOR THIS USE: ® YES 10 (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: N �s� �, �'•v' JOIN AN EXISTING OFFICE: Name of office: ® YES ® O_�'ES ® NO BE A PROFESSIONAL ASSOCIATION: ES 0 NO > REUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ^r BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) E3 YES 0 NO -� uor license. All applicants must provide proof of sanitation service Note: Restaurants, bars or night clubs attach health certificate and liq All occupational Licens e) .ired on September 30"' of each year and all merchants are responsible for renewing there license each ye I sw .ar that all the above information is e and correct. �_7 TITLE 3 DATE I f; SIGNED . USE: To LICENSE u e j° CLASSIFICATION: `-� DATE: . TRANSFER U5E APPROVED BY: - - YEAR: aJ. PENALTY TOTAL _ CITY OF SOUTH MIAMI I �� __----- 4 OCCUPATIONAL LICENSE A�PPLICA7FI0 � -•_� �.;�. ' 6130 Sunset Drive, South Miami, FL 3314 .,9»' 9^0 `4 Phone: (305)663-6343 t Finance Department _ i 1:71N ACE DEP' ._ Check one: ❑ NEW BUSINESS 4EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS � � ,� BUSINESS .� OR APPLICANT NAME: r ��1 L� C� �+ Imo;Il _;,:�s„__ PHONE: yf BUSINESS ADDRESS: ! � � � � 7 MAILING 7 � 11' ADDRESS: NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) ` Q' U0 DATE BUSINESS WILL COMMENCE: IN THE CITY OE SOUTH MIAMI: _ Tax ID#: D/'�i�O 17 d S.S. #: _D.L.#: M �-k- �cam; \ / Emergency Contact Person: � PHONE ��7 PROPERTY OWNER: { l /� S � f—1/) PHON FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED { PARKING FOR THIS USE: ® YES , NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: \\ -- • JOIN AN EXISTING OFFICE: Name of office: ® YES ® NO • BE A PROFESSIONAL ASSOCIATION: BYES ® NO REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) YES NO BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ® YES 4 NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation service,,. �= All Occupational Licenses eigi6red on September 301h of each year and all merchants are responsible for renewing -• there license each year. I swear that all the above information is true and correct., SIGNED TITLE CT DATE _ r .._ � .:. < -;sK,.t9.a 3kp +�''•t.ys,�:. d ,r�� ' s d w L. ` . . � A � 4`i� ,y � . sw..x: . ....�,. .,n.,..> k,..-si°=Y..:.�^a,�. ��.p�i,,,,,,,��+>� `<.�'.�� ;�� .S� � _. _�'t ,s��-:. ` .'.� , �,rk `.x•`�;vzSt.�. '`°�`�kw.,.�'st�' Q C 'Y �l LICENSE d� e3 CLASSIFICATION. C.U. i �.: -� USE APPROVED BY: .�--°�. DATE: � - � � TRANSFER LICENSE NO: ° � =5YEAR: PENALTY I( 3 /I IS UE DATE: ��"Ii / BY: ! '�� TOTAL �° CITE' OF SOUTH MIAMI �---, OCCUPATIONAL LICENSE APPLICATTg ;rte_ 6130 South Miami, FL 33143 Sunset Drive, Phone: (305)663-6343 Finance Department Check one: 0 NEW BUSINESS I�E_XISTING BUSINESS ❑ HOME BUSINESS O CHANGE OF ADDRESS 0 CHANGE OF NAME Please Print NAME OF BUSINESS � / j�/� Nt�� j� .� %� BUSINES$ f OR APPLICANT NAME: �/ 6 _PHONE:`3 � BUSINESS ADDRESS: ( �1 o La A,C MAILING `� 3 ADDRESS: ��U \y0�� _ l NAME OF OWNERS (PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OE SOUTH MIAMI: _ Tax ID#: J ��l 6 324 S.S. #: D.L.#: Emergency Contact Person: r Y PHONE: g >, �c�L..� - ��C - gib_ h PROPERTY OWNER: 1�C `' A_r r . PHONE �7( wrt+w+wwwwrtwwwrtw+rtrtwwrtw+rt+rtwrt+++ww+++w+rtrtrt++w++rtrtwwwrtwrtw+rtrtwwwwxwwwwwwwrtw+xww:eww+ww++ww+w+++++++ww,rww+www+w++++wwrt++wwwww++wwrtw+ww+*+w+w+++www++w++++www+ FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: C SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: a GROSS FLOOR AREA OF BUSINESS FACILITY: 6f-- _ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: ID 0 DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: �SSL,C.i Pt k 5 FL�� t- � > JOIN AN EXISTING OFFICE: Name of office: d 'A +tl_ ❑ YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: ES NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) Y L3 ES ❑ NO _, ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation service::. All Occupational Licenses expired on September 301h of each year and all merchants are responsible for renewing '{ there license each year. I swear that all the above information is true and correct. ?r, SIGNED z• ` TITLE !-: I DATE UsE: C1'» '� v `�) It�17aC-/3C C'' s�t'- LICENSE CLASSIFICATION: ('i1 J C.U. USE APPROVED BY: DATE: /� �. TRANSFER p LICENSE NO: ®S° YEAR: ` ' PENALTY j$$QE.DATE: __ BY: /�G"� TOTni �S3 ;r-tea CITE' OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: el; ��8d� R jti1> &PHONE: BUSINESS ADDRESS: woo � 6 3 }'1 MAILING ADDRESS: �; �, gci� � -��`�-� C�� I3?L��(�5 FL 335114 - DATE BUSINESS DIDAVILL COMMENCE IN SOUTH MIAMI I AD I TAX ID I S.S. #: (�� NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ` ADDRESS: PHONE: PROPERTY OWNER : PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: rVl.g j CCU, r V F ti GROSS FLOOR AREA OF BUSINESS FACILITY: � L��'� _ rUArTEET r , NUMBER OF PARKING SPACES EXCLUSIVELY FOR'PHIS USE: r NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS:r ?r f r r YvJ r WILL THIS BUSINESS: rr `rte a,ao BE A PROFESSIONAL ASSOCIATION YES V1 ` _ 1t NO r JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES ° �� ` HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A I-I.OME YES NO �! r REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES �JO � c r< Y BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES r'NO- r r Y r N r RESTAURANT, DAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST]PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT Tf ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE"' Y DATE OFFICIAL, VSY. FEES USE: 60-1 LICENSE / 3,33 CLASSIFICATION: _ C. U. USE APPROVED BY: DATE: - v TRANSFER ACCOUNT NO.: YEAR: c? PENALTY ISSUE DATE: c , T®TAI. i CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE �a by City,Ordinance, I hereby make application for an Occupational License. I understand that this form must be completed and -,red with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT \ Name of r Busi ess business: $� �^ '�l;yr`, �`fi�z i ph ne: L,`�; Street address of business: ^' v� � -`�? � uth-Miami,Florida Suite -- Product(s)to be sold or / No. � service(s)to be rendered: ' Name of owner Date business l / of business: '-:� �- ��'�� i c(� G will/did commence: >, - _ Social Drivers Tax 1 ID# -> Security# License# 1-'�`I -7 3d L%7 %tnQ If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: WILL THIS BUSINESS... Be a professional ❑YES Join an existing office? -tES Have door-to-door ❑YES Operate from a home? ❑YES association? 0 ❑NO service? 0JO Require state licensing? ❑YES Require license OYES Be licensing fee exempt? OYES I If yes, -0510 transfer? X10 110 provide documented proof. Number of Gross floor area of Number of parking spaces employees: business facility: exclusively for this use: � (including owners and manage ent FOR RESTAURANT, Number of Health certificate ❑YES Will liquor OYES If liquor is served, BAR,NIGHT CLUB: seats provided: attached? ❑NO be served? ONO attach license. Person-who will manage the business: it�C \ • /=f Phone: L` - �'i`f C� Address of above person: / � y`j 5�-`' i;� �j �� I F2 STREET CITY STATE ZIP CODE Name of property owner L '�50t° R r k /� /,',!<, �� !.� Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: 700o Sr tis4 � O(A I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: ' I�� TITLE: (. - - DATE: i Y NO Account# ' �� 3 Classification Year: Amount: C/U Fee / Transfer Penal / Amount 0 Use: — I of, South, miaT 01317 Sunset Dr. South Mial ni, FL 33143 DATE: 003-83001 FOR YR.: NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South ;Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: . Account Nu I tuber I ! _]...-:�'_.f'Li'l.:^f51""I'ii^i;. ..f^.;5 t 1••. "t < L.F`. !",',I , ._'t Fii::y .J .,i.Z!_�, .5 LICENSE TAX PAYABLE AT OFFICE OF TAX COLLECTOR, CITY OF SOUTH MIAMI, ON OR S � 6 S. x.,14••,L.-:•; BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER T _ 1.A 10%PENALTY FOR THE MONTH OF OCTOBER AND A 5% PENALTY FOR EACH MONTH OF I DELINQUENCY THEREAFTER WILL BE ADDED,AS REQUIRED BY MUNICIPAL CODE OF SOUTH MIAMI. 1 MAKE CHECKS,,.kY- LE?O CITY bE_Q� iii MIAMI THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE _ "' •^-- ° —� �z2 Zoning a�,Pp. _ WF U3 , � - :D B I. Building ;>b N i 2. xnapocticn }$ y 3. gpp}y�-� ,��y Ty ,�+� fie+ .� _..-..... -. ` V/ �. ,8e oc�(59.04 lgSNp x$qa_"'yi.J V r) n PROPRIETORSHIP, NAME OF PROPRIETOR IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PTO PERT - O IF CORPORATION, NAMES OF OFFICERS: _ I o ��P�I� �5lryYlO�V�P'— O �S1M PHONE OF PROPERTY OWNER:�p(,Sr•�g� FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS. . . YESINO NUMBER OF SEATS PROVIDED: BE A PROFESSIONAL ASSOC.? HEALTH CERTIFICATE ATTACHED? JOIN AN EXISTING OFFICE? I WILL LIQUOR BE SERVED?* HAVE DOOR-TO-DOOR SERVICE? *If liquor is served, attach license OPERATE FROM A HOME? FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE STATE LICENSING?* I VALUE OF STOCK CARRIED IN DOLLARS: ;REQUIRE LICENSE TRANSFER?* I ! ;o.t�a.a u ao.e i BE LICENSING FEE EXEMPT?* ..I"at.e.<.as a.m.e<l-..e ti<.ir..•.ei.eu y..r �,, 11<.,..paned, aaw , ,e m La aa.lmre ad year. . ,... * If yes, provide documented proof cr taa. ..ae.r wa,aaa., FOR TRANSFERS, LIST THE PREVIOUS: GROSS FLOOR AREA OF Q BBB ESS�NAM,s: BUSINESS FACILITY: fill !NUMBER OF PARKING SPACES OWNS: (EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES: ADDRESS: jT * I HEREBY CERTIFY THAT THE ABOVE INPORNATION IS TRUE AND CORRECT, TO THE BEST:��• �,? MIS 10N N CC332195 EXPIRES OF MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A November 14,1997 MISREPRE7I ATION OF Yk7RIAL FACT ARE NULL AND VOID. eONDEDTHRU TROY FAIN INSURMCE,INC. a 6130 Sunset or. South i�Jdiami, FL 331 43 `y I UM .. 663-630© DATE: t2-2-4-9.2 1 FOR YR.: -L e —i J NOTICE Ol=AMOUNT DUE FOR OCCURA.TJGNAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu- pational license for the class`iification and in the amount stated herein, for the period ending- 61000 .p.� a lam.w.c2i� - +:P�-T.r,,x'i -� i �/� � _120,00 Account Number s 5.0 0 819-242 -` LICENSE TAX PAYABLE AT OFFICE OF TAX t.s.E��8s��9_INGS NI.D. - COLLECTOR, CITY OF-SOUTH OUTH-1MIAM1, ON OR °�� '�° 2 A VE/ 2,. BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER 1,A 10%PENALTY FOR THE MONTH OF OCTOBER FLA 3^ - AND A 5% PENALTY FOR EACH MONTH OF DELINQUENCY THEREAFTER WILL BE ADDED,AS i N1AKE CHECKS PA:YA" 'LE'�i O CITY OF SOUTH fv1IAN11 REQUIRED By MUNICIPAL CODE OF SOUTH ---- --- THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE i'1 Zoning° app• � b ��- ;�----'----- by ----_ Bldg insp.d �- Sanitation �" z� �—`- Services / by Issued on IORTANT I . Building must be open for inspection. 2. Inspection fee is not refundable. 3 • Do not operate business until an occupational license has issued by the City of South Miami . been , � i U ViL LV V . u i, Company Name Address 7000 S .W. 62nd Avenue SUITE 520 S . MIAMI, FL 33143 669-4411 Zoned 1'L ° Telephone Type of Business DOCTORS OFFICE Fee ✓ �' Signe OFFICIAL USE ONLY 01_- f"U r i Zoning app. Z by �- Bldg insp./-- 1 Z- Sanitation - �' by Issued on Services (f IMPORTANT 1. Building must be open for inspection. 2 . Inspection fee is not refundable. 3 . Do not operate business until an occupational license has been issued by the City of South Miami . . ; City of South Miami BUILDING & ZONING APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13 , Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license my be issued. JOTJN J . jFNNIrTGS , M .D . 5) NAME OF PERSON(S) WHO WILL 1) MANAGE, CONTROL OR DIRECT THE REAL NAME OF PERSON BUSINESS TO BE TRANSACTED IN 4403 MONSERR.ATE ST . THE CITY OF SOUTH MIAMI HOME ADDRESS DR. JOHN J . JENNINGS CORAL "-ABLES , FL 33146 CITY, STATE, ZIP (305) 669-3231 TELEPHONE NUMBER 6) DOCTORS OFFICE NATURE OF BUSINESS 2) JOHN J . JENNINGS , M.D . , P .A . FICTITIOUS NAME OF PERSON, FIRM TYPE OF MERCHANDISE HANDLED, OF CORPORATION (IF ONE I,S Ud 7000 S . W. 62nd Ave . Suite ORTHOPAEDIC DOCTOR*� S . MIAMI , FL 33143 OR SERVICE RENDERED LOCATION OF BUSINESS (SEPARATE 12-22-92 LICENSE REQUIRED FOR EACH 7) ; LOCATION DATE WHEN BUSINESS WILL ' (305) 6"69-4411 COMMENCE (IN CASE OF PARENT FIRM LOCATED OUTSIDE THE CITY TELEPHONE NUMB OF SOUTH MIAMI, STATE THE DATE � '`�'� ' ��°�` `fad``'''' �` RR WHEN BUSINESS COVERED BY SOUTH -a- PE 2,0 � Rn�a- s� - MIAMI LICENSE WILL BE 3 ) 6//Uti. /,/� .v, A L- 3.S �-7� COMMENCED) NAME O OWNER OF BUILDING IN WHICH THE BUSINESS IS LOCATED 8) IF MERCHANT, VALUE OF STOCK CARRIED (DEFINED AS COST VALUE OF STOCK ON HAND AT CLOSE OF 4 ) IF A FIRM, NAMES OF MEMBERS OF LICENSEEIIS FISCAL YEAR FIRM, AND IF A CORPORATION, PRECEDING LICENSE PERIOD; IF NAME OF OFFICERS OF CORPORATION NOT IN BUSINESS ONE YEAR, VALUE JOHN J . JENNINGS AS OF COMMENCEMENT OF BUSINESS) 9) 5th floor GROSS FLOOR AREA OF BUSINESS -gRFF + ADDITIONAL PAR INC, FOR NUMBER OF PARKING FOR BUSINESS PATIENTS . I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. (LICENSES OBTAINED ON A MISREPRES A d' OF MATERIAL. FACT ARE NULL AND VOID) . JC????�? j . JENNINGS , M.D .Pp-BSIMENT SIGNED �� I` AS DATE TITLE OR EXPLANATION.. OF CONNECTION WITH OWNER 6130 Sunset Dr. South Miami, FL 33143 DATE 667-5691 FOR YR.: L' L. ;% i P NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occupa- tional license for the classification and in the amount stated herein, for the.period ending: - Account Numbel• 'Tt.i 'F; 0 0 - - LICENSE TAX PAYABLE AT OFFICE OF TAX COLLEC,TgP., CITY OF SOUTH MIAMI, ON OR ti...,. S UI y;, A V'�:' t_i f BEFORE✓OCTOBER 1ST: IF NOT D BY R 1, ��E14LT FbR T � ,tV� OCTOBE A D 5k/ ENALT O R4EACH 50 }J;11.Ali,r. EJ;FP F L BE ADDED,AVRr ED, 1CIPL CO _ OF SOUTH Iv11AIN1._ MAKE CHECKS PAYA$Lfz_Tb CITY �F ak MIAMI Flame address p Telephonng num er ,511 IZft C7_6 it—S.9 ey !I ) Fictitious name of person, irm Nature of business of corporation (if.one .is used) �j� SdGs°� Type Ff mere andi se handled, or Location of bus i ne� separate license .required for each location)_ Service rendered Telephone number Date when business will commence 3; KOpU� �1 (In case of a Narent firm located Kane of owner of building in which outside the City of South--,Miami, state the date when business . I business is located. covered by South Miami .License._ will be commenced If merchant, value of stock carried 4) If a firm, names of members of firm, 8) (defined as cast value of' stock on and if a corporation, names of hand at close of licensee's fiscal officers of corporation: year preceding license period; If W�s�o -�- 1L-5 not in business one year, value as _ of commencement of business): Si=t°— n' ro 7; al n; °I I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) 4 Signed � AS Date t�f jCO�f t e a .e�epl gnat on `- business. 8Zjo0-2 REV.S—LI^02 City of-south Mia mf t, e� 19 ® 19 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. Real knar m of person 5) Name of person or persons who will manage, control or direct the business to be transacted in the dome address City of South Miami : A. Zip Telephone number 2) °W' Pr` 6) f -FE�r rictitious name of person, firm Nature of usiness of corporation (if one is used) Location of business separate Type of merchandise handled, or license required for each location) 3bS _ �rp5_isgb Service rendered Telephone number 7) 3; qaaku P(4Ce 1 nc Date when business will commence (In case of a parent firm located Name of owner of buildinq in which outside the City of South Miami, business is located. state the date when business covered by South Miami License will be commenced. ) � 4) If a firm, names of members of firm , g) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal �2�on C. �\eS�ey, �rg Sew year preceding license period; if !r not in business one year, value as of commencement of •business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed Date As 2C Title or explanation of connection with BZ100-Z REV. ?7-A2 business. 6130 Sunset Dr. South Miami, FL 33143 DATE: " ` ' r' a 667-5691 FOR YR.: 1:'`;t-1 94 9 I NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occupa- tional license for the classification and in the amount stated herein, for the period ending: SEPT. 30£¢ 19's-9. �.:.}�• .°� ;;:+; .L ,, i.i F�=_I3� Account Number l 53+ 77 t �`��'��°"�` - �""""';`"°''�"* s»:_—.:..+." LICENSE TAX PAYABLE AT OFFICE OF TAX I S.t s��,^ qr.- COLLECTOR, CITY OF SOUTH MIAMI, ON OR I ..>,. .a E BEFORE OCTOBER 1ST. IF NOT PAID BY 7000 SW 12 PYG OCTOBER 1,A 10%PENALTY FOR THE MONTH OF OCTOBER AND A 5% PENALTY FOR EACH t'"r 332143 MONTH OF DELINQUENCY THEREAFTER WILL iW w:. �1i3r BE ADDED,AS REQUIRED BY MUNICIPAL CODE OF SOUTH MIAMI. 1 i MAKE CHECKS PAYABLE TO CITY,OF SOUTH MIAMI I — 'T-cy oT--zimatn-mramY .-- -- -- — -- -- — = Home address Zip Robert M. Entin _ 534-6453 Telephone number ENTIN BUSINESS MANAGEMENT & 2) CONSULTANTS CORP. 6) Business management company Fictitious name of person, firm Nature of business of corporation (if one is used) 7000 S.W. 62 Ave. , 4555, So. Miami FL Type of merchandise handled, or Location of business separate 33143 license required for each location) Business management Service rendered (305) 665-5599 Telephone number 7) In existence since 11/86 Date w en business will commence 3) Plaza 7000 Associates, Ltd. (In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; if not in business one year, value as of commencement of business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed �� ` -^ U \ �� Date November 10, 1988 As President Title or explanation of conci: on wit business. E X II 00-8 REV.6-28-82 yam _ ` C�Dkun of South, 1 -Lg-m2 6130 Sunset Drive, South Miami. Florida.33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami.., I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. l ) C.`rs /u," 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the 33/ �, Ci t, of South Miami . Home address Zip '��r,'�� f�ie�_k Al Al Telephone numberM , 2) erg e �2sS v r+ �;� L i6) e . )/ylesr�/ � fc� A'fet:tw°� :�- . Fictitious name of person, fi'rm`-- Nature of business of corporation (if one is used) .� if e- Serr 4e Type of merchanddse handled., or Location of business separate J r ? license required for each location) Service rendered — Telephone number 7) r Date when business will commence 3) �� (In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South iliami License will be commenced. ) 4) If a. firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee 's fiscal / �� year preceding license period; if 46iq-j'L 1 f/�; -Y ��, �� not in business one year, value as of commencement of business) : c� I hereby certify that the above information i true and 0 rre:ct, to the best of my knowledge and belief. (Licenses obtained onta:,'mis'repre ent ion of material fact are null and void. ) 1`` `' j.--�. .� Signed ii�� , Date As 1 < �j Title or explanation of connection with business . 6Zt0o-2 REV. B-27-52 r city of Souk Miami 19 8-&= 19 8-7 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami ; I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the City of South Miami : Home address Zip HARRY SASSON r, Telephone number 2) CARMEL DEVELOPMENT GROUP 6) DEVELOPERS Fictitious name of person, firm Nature of business of corporation (if one is used) --- — 7000 SW= 62Ave.yNLiami, :Fl 33I43,SurteT5201 Type of merchandise handled, or 'Location of business separate_- license required for each location) Service rendered 0305) 665-8852 Telephone number 7) 3) OFFICE SERVICE NIANAGEN,1ENT Date when business will commence (In case of a parent firm located Name of -owner of building in which outside the City of South Miami , business is `located. state the date when business CvVCicu Uy JVUWI I'iIClllll LICCf)$L-' will be commenced. ) R 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal PARTNERSHIP year preceding license period; if not in business one year, ' value as of commencement of business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a m r re ntation of material fact are null and void. ) Signed / Date 10-03-86 As Partner Title or explanation of vonnection with business . B Z 100-2 REV. 8-27-82 - Ch f Sou 19 3- 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE 41 As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) JAIME E. BORRELLI 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the • , 10621 SW 117 AVE. MIAMI _ FL 33176 City of South Miami : Home address Zip JAIME E. BORRELLI 279-5356 Telephone number 2) BORRELLI & ASSOCIATES ARCHITECTS PLANNER ARCHITECTS PLANNERS Fictitious name of person, firm Nature of business of corporation (if one is used) 7000 SW 62 AVE. SUITE 520 MIAMI FL Type of merchandise handled, or Location of business separate license required for each location) ARCHITECTURE d 665-8852 --Te 7) lephone number Date when business �qill commence (In case of a parent firm located 3; OFFICE SERVICE MANAGEMENT outside the City ()f South Miami , Name of owner of building in which state the date when business business is •located. covered by South ("iami_ License will be commenced. ) ,I �.�� value of stcck carried � 4) If a firm, names of members of firm 8) If merchant,(defined as cost value of stock on and if a corporation, Harries of hand at close of licensee 's fiscal officers of corporation: year preceding license period; if not in business one year, value as JAIME E. BORRELLI PRESIDENT of commencement of business) : SECRETARY TREASURER _ I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed r` As PRESIDENT Date �;' . Title or explanation of connection with business . ez100-2 REV. 8-27-62 .: City Of Soudi Miami 19 sw 19 7 6130 Sunset Drive. South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. �7; ,T 5) Name of person or persons who will Real name of person manage, control or direct the hiicinacc to be transacted in +He City of South Miami : Home address Zip Tell/ephone number Fictitious name of person, firm Nature of business of corporation (if one is used) Type of merchandise handled, or Location of business separate license required for each location) Service rendered Telephone number 7) 3) ��`(1) �. �5� Date when business will cornmence (In case of a parent firm located Name of ,owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami�iLicense Will be commenced. ) 4) If a firm, names of members of firm, g) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee 's fiscal �? year preceding license period; if not in business one year, value as of commencement of business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void: ) Signed $� City of South Miami 19 8 &= 19 81 6130 Sunset Drive, South Miami. Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be -completed and returned before a license may be issued. 1 ) VIVIAN SALAGA 5) Name of person or persons who will Real name of person manage, control or direct the 1032 PALERMO AVE. C.G. 33134. business to be transacted in the Home address Zip City of South Miami : 447-8977 LEMUEL RAMOS, A.I.A. EXEC. V.P. Telephone number LOURDES SAN MARTIN, P.E. VICE PRES. THE ASSOCIATION OF SCHOOL 2) CONSULTANTS INC. 6) ARCH. ENG. Fictitious name of person, firm Nature of business of corporation (if one is used) 7000 S.W. 62ND. AVE. SUITE 510 Type of merchandise handled., or Location of business separate license, required for each location) PROFESSIONAL ARCH./ENG. Service rendered 666-3383 Telephone number 7) JULY 86 3) SERVICE MANAGEMENT Date when business will commence (In case of a Parent firm located Name of -owner of building in which outside the City of South Miami , business is located. state the date when b A iness covered by South Niarni License will be commenced. ) 4) If a. firm, names of members of firm, g) If merchant, value of stock carried and if a corporation, names of - (defined as cost value of stock on officers of corporation: hand at close of licensee 's -fiscal VIVIAN SALAGA, A. I.A. PRESIDENT year preceding license period; if LEMUEL RAMOS A.I.A. EX. V.P. not in business one year, ' value as LOURDES SAN MARTIN P.E. VICE PRES. of commencement of business) : JORGE AllE A.I.A. SECRETARY TONY NOVO, P.E. TREASURER $ I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) � e ed Date 9_119186 As PRESIDENT Title or explanation of connection with BZ100-Z REV. 8-Z7-8Z - business .. - _ k city Of South Miami 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE V V 3 0 PFC As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of. South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued . 1 ) Mark W. Kay 5) Name of person or persons who will Rea1 me of �erson manage, control or direct the 1300 So . alusa Club Drive business to be transacted in the Miami , FL ' 33186 City of South Miami : Home address Zip Mark W. Kay 386-5946 (residence) Telephone number 2) NONE _— 6) Attorney Fictitious name of person, firm Nature of business of corporation (if one is used) None 7000_ 62rid�Ave :Suite 50;0 Type of merchandise handled, or Location of business separate license required for each location) Legal Services Service rendered 667-0475 (office) Telephone number — 7) Already established Plaza 7000 Associates Date when business i:illFcommence 3; (In case of a parent Firm located Name of owner of building in which outside the City of South Miami , business is located . state the date when business covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers, of corporation: hand at close of licensee 's fiscal year preceding license period; if David T . Chase, Managing Partner not in business one year, value as of commencement of business) : -- $ N/A I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentat', mate 'al fact are null and void. ) (&k Signed W - 2 , 1987 rk W. ay DaQ @tober As President/Owner Title or explanation of connec City ®f Soudi Miami .19 8-&= 19 8-7 6130 Sunset Drive. South Miami. Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter .13, Article 1 , Section 13-1 , of the Code of Ordinances .of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. f 1 ) %+ TGr� A-Iu) 5.) Name of person or persons who will Real na a of person . manage, control or direct the business to be transacted in the City of South Miami : Home address I Zip Telephone number ' 2) Gnu. Ljo-� �1 � , AAd 6) Fictitio s name of person, firm ' / Nature of business of corporation (if one is used . Type of merchandise handled., or Location of business separate license required for each location) E ,��' Service jendered Telephone number / 7) AC6"e- . 3) �/�C --7 L �� 6' Date when bu i ness will ommence t� (In case of a parent firm located Name dfi ,owner of buildin;- in which outside the City of South Miami , business is located. state the date when 6�siness f members of firm, 8) If merchant, value of stock carried 4) If a firm, names o (defined as cost value of stock on and if a corporation, names of hand at close of licensee's -fiscal - officers of corporation: year preceding license period; if not in business one year, value as of commencement of business) : I hereby certify the t the above information is true and corrtion to material my knowledge and belief. (Licenses obtained one a misrepresents fact are null and void.) �J , Signed < n�L �� V As a Date 1. Title or'expination of connection with business BZ100-2 REV. 8-27-82 _ U4 CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME:-1��nC�`1C�.��0� i\1t t^ ii PHONE: t j `IgO0L2c= BUSINESS ADDRESS: 1WO MAILING ADDRESS: `:j A DATE BUSINESS DIDAVILL COMMENCE IN SOUTH MIAMI TAX ID S.S. D.L. #:r(ut 133-c,14-iii Z2 0 NAME OF PROPRIETOR, PARTNERS OR CORPbRATE OFFICERS: EMERGENCY CONTACT PERSON: 11 � \vlo I o ADDRESS: G(.� "�;;� (�,L U�C` G k'c PRONE: ;: 40-1 PHON9' PROPERTY OWNER : — ,1� t FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: j. o. n J�Z-1 n C �'OiE �E RE��11f"3.RED: �' �•`\l LCL� , GIROSS FLO F, OF BUSINESS FACILITY: ;� H- SQUARE FEET N`UNMER OF PF ING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EI MPLOYEES INCLUDING OWNERS AND MANAGERS: 2- s. ylp,L,THIS BUSINESS: VE A PROFL.SS7-ONAL ASSOCIATION YES NO JQIN AN]�XIS., TNG OFFICE (IF YES,PROVIDE PROOF) YES ?` NO y lJukA-rlP_DOOR TD DOOR SERVICE YES NO OP F- ATE M A HONV YES NO "X I;EQIRE�5, ATE LICENSING (IF YES,PROVIDE PROOF) YES X NO — t t, NO x BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES RESTAURANT, DAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICAN'T'S IV UST(PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED , �(L TITLE L+cv°ate a C�i:n, J�CQ�DATE "= OFFICIAL USE ON1�.''Y USE:/,e'l "/L LICENSE CLASSIFICATION: C. U. USE APPROVED BT_ DATE: �� TRANSFEJMFEE LI CC OUNT NO.: C% (} � �- YEAR: C -�1'?, PENALTY SUE DATE: /`C - -�' BY: TOTAL 6130 Sunset Dr. South Miami, FL 33143 DATE: i ;,,;,t;• 663-6300 FOR YR.: NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE i You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: Account Number ` _ i LICENSE TAX PAYABLE AT OFFICE OF TAX F COLLECTOR, CITY OF SOUTH MIAMI, ON OR -%i).0 0 ?.I�y f,; �; {'=3'•.3'm. BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER 1.A 10%PENALTY FOR THE MONTH OF OCTOBER AND A 5% PENALTY FOR EACH MONTH OF r, -- - DELINQUENCY THEREAFTER WILL BE ADDED,AS ''�'"'"��"` ,__•_ ." REQUIRED BY MUNICIPAL CODE OF SOUTH " MAKE CHECKS RKYA`BLE TO CITY 0F8'0*6TH MIAMI THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE �_- 1 a 0 1 Home address Zip C� o5D 6q5- Telephone number %31i% .14. Fictitious name of person, firm Nature of business of corporation (if one is used) 0 0 0 Type of merchandise handy f Location of business separate license required for each location) f,fl'�,E' ` �f ,, _u 115 Sery ce rendered Telephone number 7) Date when business will commence .3) t_�&�°` Ib2� V► � Coo (In case of a parent firm located . Name of owner of buildi-R in whic outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) G) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on offic,ex,,s of corporation: hand at close of licensee 's fiscal year preceding license period; if not in business one year, value as of commencement of business) : Y) ' lo Ia . I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are nail and void. ) Signed Date J'UN1.00 ^.•� C3 Of SO lt 110-- i LIC. NO.: 6130 Sunset Dr. South Miami, FL 33143 DATE: 663-6300 FOR Ys.: .. .. j NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: S!-..:'.V].'C � Account Number P LICENSE TAX PAYABLE AT OFFICE OF TAX c COLLECTOR. CITY OF SOUTH MIAMI, ON OR :�c i'!_s 1-•"^` ,1f''<' " "�`•.' '+ry°�:-I f�+ BEFORE OCTOBER 1ST.IF NOT PAID BY OCTOBER —vs tt 1.A 10%PENALTY FOR THE MONTH OF OCTOBER -`➢''' - 3"' �` - '-'• AND A 5% PENALTY FOR EACH MONTH OF + DELINQUENCY THEREAFTER WILL BE ADDED, AS R_EQ_UIRED BY MUNICIPAL CODE OF SOUTH ;'•':"? i"li j? -, r._.•.; MIAMI.._4 _ g'_:i'"_• MAKE CHECKS PAYABLE TO CITY OF SOUTH MIAMI -' i THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE pow• � pe we•ww�a«w+s na � manage, control or direct the business to be transacted in the City of South Miami : -ome address Zip Deborah Rassner eleonone numoer » RASSNER, RASSNER, KRAMER & GOLD, P.A. • _ 6) _ T•Paal Services -ictitious name o person, firm Nature or business of corporation (if one �s used) 7000 S.W. 62nd Ave. -ocation of usiness (separate Type of merchandise nandled, or license required for each location) Legal (305) 667-0475 Service rendered aiepnone numoer .7; Juana Corp. date wnen Business 'rill commence , .n case of a _Brent ';rlm located =Ame C . :wner of builaing In wnicn 'outside the L'._'J ^f -coutn 'iami , :uslness is located. Stcte :lie da%e wnen ouslrcss covered by South ►aiami License will be commenced. ) a firm, names of members of firm, 3) If merchant, value of stock carried z-nd if a corporation, names of (defined as cost value of stock on .fficers of corporation: hand at close of licensee's fiscal Year precedine license period if Monte Rassner not in business one year, value as Wayne Rassner of commencement of business) : Jeffrey Kramer g Alan Gold : hereby certifv that the above information is true and correct, to the best =f 7v knowiedde and belief. (Licenses obtained on a misrepresentation of material =!ct are null ano void. ; i e nevi I rh P(!) (1-K %n✓)/1 Ak 9/n 6130 Sunset Dr. South Miami FL 33143 DATE: �� 6G3-6300 FOR YR.: g — " NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE purchase of an occu c classification and in the amount stated herein;for the period ending: S, p, F 3 r s You are hereby notified that the Municipal Code of the City of South f��llami requires e pational license for the c Account Number 3rjl_ yiED-CAL OFFICE $ 2 0 a .00 FEE Sts-02-1 LILCENSE a LICENSE TAX PAYABLE AT OFFICE OF TAX j �t COLLECTOR, CITY OF SOUTH MIAMI, ON OR �_, p jF 6 6 G—6 6 6 s - - BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER T OBER QTY K ` I L L�-`-�.E "W F 1,A 10,%PENALTY FOR THE MONTH OF OCTOBER _ �.H' ^,;��,i:f AND A 5% PENALTY FOR EACH MONTH OF k :;�j1"t` 62 !-� `1 DELINQUENCY THEREAFTER WILL BE ADDED,AS 331 s:� REQUIRED BY MUNICIPAL-CODE.OF SOUTH MAKE CHECKS PAYABLE`-TO'CITY OF SOUTH IViIAMI THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE -----. - License# r:`partnershi names of partners e / ILI / I on,names of officers: / f �/ p, � r WILL THIS BUSINESS... Be a professional Y S Join an existing office? ❑YES Have door-to-door ❑ S Operate from a home? . ❑YES association? NO service? LKN O O Require state licensing? fflYES Require license ❑ -ES Be licensing fee exempt? VZ S If yes, NO transfer? NO provide documented proof. Number of Gross floor area of — Number of parking spaces employees: business facility: exclusively for this use: (including owners and management) FOR RESTAURANT, Number by Health certificate OYES Will liquor ❑YES If liquor is served, BAR,NIGHT CLUB: seats provided: attached? ❑NO be served? ❑NO attach license. Person who will (� � manage the business: V �t rA 5 1 tl Phone: Address of above person: r9j - i'7 � ,l 1,4 �m G FL ` '�� ' E;� STREET CITY STATE ZIP CODE Name of 1 � ��' �; LP t3 f property owner i' 'A, r i �t Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I"also understand/Ahpt licenses obtained on a misrepresentation of material fact are null and void. SIGNE 1UL TITLE: J-)l /" ''V DATE: F ,f,Jlc-;C E.. 'U. : Account# Cf - Classification Year: /G -!G f c�- Amount: ;1?v �. C/U Fee Transfer Penal ��; - Amount zi 4� Use: ,`C C `/� / 6130 Sunset Ur. South IVliami, FL 33143 DATE: r 663-6300 1 �- FORYR.: NOTICE OF AMOUNT DUE OR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Cade of the City of South Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: SE. z a—;_BE ; 301 a4.l?D1C- 'L OIFFICE Account Number 3 y r:• fe?a.'�_� '; 37,�"',r'';::,1'd.�J 1 ' 'J - LICENSE TAX PAYABLE AT OFFICE OF TAX a.�aa3.�:tR, >'D,� 662-6,� COLLECTOR, CITY OF SOUTH MIAMI, ON 7000 s�"�,,W' 62. AVE/ v U i TE 4535 BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER . __ 1,A 1.0%PENALTY FOR THE MONTH OF OCTOBER £'�• '�- ..T�. .tom j n..v�'-j 1 3 1413 AND A 5% PENALTY FOR EACH MONTH OF DEONQUEAICY THEREAFTER WILL BE ADDED, AS REQUIRED BY MUNICIPAL CODE OF SOUTH MAKE CHECKS E.. �� " FAYA$L"E'TO CITY OF S�OtJTH MIAMI : . ::.. -°. '-' .- .— :.-• ..-' THIS LICENSE MUSS+%SE DISPLAYED IN A CONSPICUOUS PLACE If promo rjor.ship,name of proprietor — -------- --- ---. -- ifi p rtgers ip?names of partners i / if corporation,names of officers: 14 , . S 1 Zr'f'GZ£� C� `� J I;� a �� ' WILL THIS BUSINESS... Be a professional ❑YES Join an existing office? ❑YES Have door-to-door OYES Operate from a home? ❑YES association? ENO ONO service? 0 X10 Require state licensing? .AYES Require license OYES Be licensing fee exempt? ❑YES If yes, ONO transfer? ISNO 113go provide documented proof. Number of ./ Gross floor area of Number of parking spaces employees: J business facility: exclusively for this use: (including owners and management) FOR RESTAURANT, Number oil Health certificate ❑YES I Will liquor ❑YES If liquor is served, BAR, NIGHT CLUB: seats provided: attached? ONO be served? ❑NO attach license. Person who will / manage the business:�� ti �'d�" � f ��^ �' Phone: . Address of above person: �� L /:�I t ei ✓�j f - STREET CITY STATE Zip coDE Name of property owneri'��.�C-�I�j.��i �.-.�.lc„��- ? mac. �. Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED/ TITLE:y�-� 2�%� TITLE: ' � %!� DATE: ', — � T , J/J'f L � 1 CC V :_~ y�, � .... .,,f:;... t .•- __.©:f F��=`:Ci.G ,':� ".;,Q ,s{�. .Y,, ;.,°. T•,-..-......r ».->.:1. - f;' r ,�'.�a. "'` Account\# Ila ^2 :% Classification, Year: G . f /- Amount: ;� ��''� C/U Fee J� Transfer! / Penal `'D ”' l" � Amount Use: 1 � � ® G� CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICE&-SE-- As required by City•Ordinance, I hereby make application for.an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of t business: L i a (a t� `� , �� ✓1C'V1 Cl�-r phone: (0 (0 Street address of business: E1 uE South Miami,Florida Suite Product(s)to be sold or No. service(s)to be rendered: 5fru i C 0 - Name of owner ... Date business 6 of business: CA�-V)✓Q n E (S e,r AncC n(I - `l c2 r- ' will/did commence: Tax. Social Drivers ID# �� d 1 P Security#�`� _ �� c, G License# If proprietorship,name of proprietor W partnership,names of partners W corporation,names of officers: WILL THIS BUSINESS... Be a professional EYES Join an existing office? OYES Have door-to-door DYES Operate from a home? DYES association? DNO DNO service? ONO NO Require state licensing? )MYES Require license DYES Be licensing fee exempt? DYES If yes, DNO transfer?j aNO I 1,14NO provide documented proof Number of �y Gross floor area of Number of parking spaces employees: business facili . / I exciusiv -for this use: 1 1 (including owners and man ement FOR RESTAURANT, Number of Health certificate�ES Will liquor\�ES If liquor is served, BAR,NIGHT CLUB: seats provided: attached? DNO be served DNO attach Goense--- Person who will `' manage the business: Y'l!0 h n C 6j� - `� �C��12 Phone: &'O(�- Address of above person: 3 -115, STREET CITY STATE ZFCWE Name of •------- j property owner ' ��-h N y r'1 ( S e r'V Yl v�n - ors t' r Phone: (r s - 23 FOR TRANSFERS,UST THE PREVIOUS: f� Business name: Owners: Address: I hereby certify that the above information is true and correct,to the best of my knowledge and belief. I,also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: �% %� TITLE: b DATE: Account# - Classification Year Amount: CIU Fee - � Transfer / - Penal Amount Use: l C':o� e = � 1. %�r�.�- /i/,�.?v,t�bl� C2TY OF SOUTH M2ANi2 ri r APPLICATION FOR OCCUPATIONAL LICENSE ) , L ® PLEASE PR=NT As required by Ordinance # 18-80-1077 of the City of South Miami, I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of p• proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B & Z Department. NAME OF BUSINESS: :E fJ F F= r Ramon J. Iglesias, MD ;• CIiASSIFICATION. . . ��✓ �� STREET ADDRESS OF BUSINESS: n(n� G �,�7 `.:;.:::.:.:>?:;> >:: '>:::::<':...:�..,:.::.:.............. Gam, SOUWWamY, 'Florg3pd Ave #525 ::X AMOFSNT::.$ C U FE • �� Separate licenses are required for $7B'0D RANSgER each business location in the City. P.ENALT` biiSiiv$SS PHOiGE: 305 661 - saFBri `';: }} .":; ( ) 0088 l�d...j PRODUCT(S) TO BE SPLD OR NAME OF PERSON WHO WILL MANAGE, SERVICE(S) TO BE RENDERED: CONTROL OR DIRECT THE BUSINESS: Medical Office Grace Enriquez STREET ADDRESS OF ABOVE PERSON: NAME OF OWNER OF BUSINESS: Ramon J. Iglesias, MD • CITY, STATE, ZIP CODE: DATE BUSINESS WILL/DID COMMENCE: AS Ahr-)174- 03/21 /94 HOME TELEPHONE OF ABOVE PERSON: PROPRIETORSHIP, NAME OF PROPRIETOR IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PROPERTY OWNER: IF CORPORATION, NAMES OF OFFICERS: HealthSouth Corp Ramon J. Iglesias , MD,P2L PHONE OF PROPERTY OWNER: FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS. .. YES NO NUMBER OF SEATS PROVIDED: 4 BE A PROFESSIONAL ASSOC.? HEALTH CERTIFICATE ATTACHED? 30IN AN EXISTING OFFICE? X WILL LIQUOR BE• SEEtVED?* HAVE DOOR-TO-DOOR SERVICE? *If liquor is served, attach license OPERATE FROM A HOME? X FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE STATE LICENSING?* VALUE OF STOCK CARRIED IN DOLLARS: REQUIRE LICENSE TRANSFER?* BE LICENSING FEE EXEMPT?* twei..a..�..`.'lu.o`.emt"KuA mt'tw"t X vim'WL"lio PwLadt h-, 1t n Sn b LwL m y' , * If yes, provide documented proof ' *`---" "--"—) FOR TRANSFERS, LIST THE PREVIOUS: GROSS FLOOR AREA OF BUSINESS NAME: BUSINESS FACILITY: 2,500 sq ft Ramon J. Iglesias, MD PA NUMBER OF PARKING SPACES At Leat OWNERS: EXCLUSIVELY FOR THIS USE: Ramon J. Iglesias MD S NUMBER OF EMPLOYEES: 6 ADDRESS: I HEREBY CERT Y,1'THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLENGE' AND BELIEF._, I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A MISREPRESENTAT`LON OF MATEfRPAL FACT ARE NULL AND VOID. SIGNED: �' �� TITLE: DATE: 6130 Sunset Dr. South K/iami, FI_ 33143 DATE: „• P�+. 663-6300 FOR YR.: ? NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENISE You are hereby notified that the Municipal.Code of the City,of South Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: Account Number LICENSE TAX PAYABLE AT OFFICE OF TAX `"'—' •''^' COLLECTOR, CITY OF SOUTH MIAMI, ON OR BEFORE OCTOBER 1 ST,IF NOT PAID BY OCTOBER .0 1,A 10%PENALTY FOR THE MONTH OF OCTOBER AND A 5% PENALTY FOR EACH MONTH OF DELINQUENCY THEREAFTER WILL BE ADDED, AS "J" REQUIRED BY MUNICIPAL CODE OF SOUTH MAKE CHECKS'PAYAMLH'TO CIT'1?-_OF 9nUfiH MIAK1,I THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE -- —---_— _ —_-- _ --- ----- -- ----------- - ---------_— _—--�— _------ ---- — —— ----- ---�1 a 002817 6130 Sunset Dr. South Miami, FL 33143 DATE: ;, 663-6300 FOR YR.: -k NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that theJAunicipal Code of the City of South Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: .4 t-. ..T.t.J�.-.. —_',f ,_�i.r -1 .. � Account Number ._(,f.. 1 t •�.t'�,M {, ,l LICENSE TAX PAYABLE AT OFFICE OF TAX _ _ COLLECTOR, CITY OF SOUTH MIAMI, ON OR st yt J. c i='• BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER I 'S,C) yF, •I• 1.A 10%PENALTY FOR THE MONTH OF OCTOBER .. I'tr 4.. ,_. AND A 5% PENALTY FOR EACH MONTH OF �,='� •L.L;�, DELINQUENCY THEREAFTER WILL BE ADDED,AS REQUIRED BY MUNICIPAL CODE OF SOUTH MIArJR`:'- MAKE CHECKS P`NK aLE-�i�-CITY O�t•°SOCF�j MIAMI -' --•--- -- >••• -- THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE -- :,me —wner of�ui i ai na n wnl c'1 --- 3UL57Z1E�T*t�C" / �ou amt;---- :usiness is iocatea. state "he date when ousin=ss covered by South f"iami License will be conmencea. ) :` a firm, names of members of firm, 3) If merchant, value of stock carried And if a corporation, names of (defined as cost value of stock on ;;fficers of corporation: hand at close of licensee's fiscal year preceding license period; if SZ Ey�rJ Sty-� 1 not in business one year, value as Of commencement of business ) : 5 � ^ereby certify that the above information is true and correct, to the best -�f -iv knowiedge and belief. (Licenses obtained on a misrepresentation of material -act are null and void. ) S i a_ned =ate ku As t?a a�-;k -I— cvcQ cv I City of S o u f h Mia m 1 19 8�= l i 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I,°hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. l ) Ra56 5) Name of person or persons who will Real name of person manage, control or direct the Wo an �1-cenk 33 iq/_ business to be transacted in the f� City of South Miami : Home address Zip ass -) (0 b1 - 0905 - Telephone number 2)�a,,�6nef ��Yvf kawr4joR 4 Fictitious name of person, firm Nature of business of corporation (if one is used) �� YV (ogOd- �® Type of merchandise handled, or Location of business kseparate license required for each location) as (0 G--1 - QLl Servi a rendered elephone number 7) Date when business will commence 3) ,1� dCC: � (In case of a parent firm located Name of owner of bui ing in which outside the City of South Miami , business is located. state the date when business- covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, g) If merchant, value of stock carried k and if a corporation, names of (defined as cost value of stock. on officers of corporation: hand at close of licensee's fiscal year preceding license period; if not in business one year, value as of commencement of business): �Vd 6 1 d hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed Tauy,�% Date As itle or explanation bf confiect on wlt business. @E000-2 REV.6-27-U - - LIC. NO.. k 6130 Sunset Dr. South Miami, FL 33143 DATE: 663-6300 _ FOR 1'R.: NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu. pational license for the classification and in the amount stated herein, for the period ending: .rv;,., .; • :Y.__k µk; T° Account Number 4''r' -^`•..fl. ^.Li„1t�i LICENSE TAX PAYABLE AT OFFICE OF TAY, I ' COLLECTOR, CITY OF SOUTH MIAMI, ON OR I BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER I' [;;j ;•'i 1,A 10%PENALTY FOR THE MONTH OF OCTOBER j AND A 5% PENALTY FOR EACH MONTH OF DELINQUENCY THEREAFTER WILL BE ADDED,AS �+ .•' j _ REQUIRED BY MUNICIPAL CODE OF SOUTH I MAKE CHECKS PhNA-B_ lb°CITY OF50OjH IAMl MlArnl'I`-:'- r_ - „ „ e i THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE q P k 0 `® SCI (0 Miami 5,3 v ! City of South Miami_ Home address Zip O ele on(e� number 0 Fictiti u3 s name of person, firm— Nature of business of corporation (if one is used) i -700o � &) 660® Type of merchandise handled, or Location of business separate license required for each location) " per d Ce-S (50(-:5) Serv °ce rendered 66-\-0475 Telephone number 7) 3) � � �aoz � �� Date when business will commence (In case of a parent firm located Name of owner of Wilding in which outside the City of South Miami , i business is located. state the date when business covered by South Miami License will be commenced. ) 4) ..If a firm, names of members of firm, g) If merchant, value of- stock carried C and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee 's fiscal year preceding license period; if not in business one year, value as of commencement of business) : C► � _ �14 Krc ()\O 11 (,tea I hereby certify that the above information is true and correct, to the Guest of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) Si gned 9zt� Date_\_ �;��;`� As �)t% ^ '� e_c Title or explanation of connection with business. L''Z800-2 REV.8-2$—aZ CITY OF SOUTH Mi./-..MI APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby make-application for an Occupational License. I understand that this o must e Co pie- d and returned with copies of proof of sanitation services. 1 also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B &Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of y, f- Business business: t,"1 i F�, o. S ° 3 V L). a t. I- {�+ phone: t3�',:� 6,C, Street address — f of business: 71 0 S U'-) South Miami,Florida Suite Product(s)to be sold or No. 4 6 service(s)to be rendered: Name of owner Date business of business: A-11 will/did commence: i . i Tax Social Drivers ID# 'a G' Sectrrtty# License# 0-S L/Il 6 If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: :_Vl A i-., A V o I•-( • !� r WILL THIS BUSINESS... Be a professional BYES Join an existing office? OYES Have door-to-door OYES Operate from a home? OYES association? ^NO ONO service? ONO ENO Require state licensing? ®YES Require license OYES Be licensing fee exempt? OYES I If yes, ©NO transfer? EINO ONO provide documented croof. Number of Gross floor area of Number of parking spaces '`' employees: business faaii exclusivel for this use: includin owners and nano ement FOR RESTAURANT, Number of Health certificate OYES I Will liquor DYES If liquor is served, BAR.NIGHTCLUB: seats provided: attached? ONO be served? OtJO attach license. Person who writ manage the business: `a i/y � y i'- Phone: 6. l 9 41- p Address of above person: ri L'L t=° 3- A-ti srREEr MY VAW ZP CME Name of property owner i�%' ' Phone:-° `I 70 FOR TRANSFERS,LIST THE PREVIOUS: Business name: a'L-•i Pt 5 vv Owners: r4fi Ai o � t�t _ L_P tam ` I`-f Address: i 500 I hereby certify that the above information is true and correct, to the bast of my knowledge and belief. I also understand that licenses obtained on a..misrepresentation of material fact are null and void. SIGN F�%��..._.. - .- _r TILE: �� > '�. w F , 'v��.r DATE: ' OFFICE USE 0 N L Y Atacount# �r/��,r Classification Year. Amount: CIU Fee dolL Transfer Penalty _�� I Amount / A� Use: CIFT"I" ()F SOUTH MIAM1 -ION FO'�' OCCUPATIONAL LICENSE APPLICAJ As required by Cite Ordinance. I herc!)v inakc appiication for ail Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also wid.-rstzujd t!'31 first tuTIC 0ccuP,1nLS of any premises will be required to complete a Certificate of'Use Inspection Fumi \vidl the B L 7 Department. Scpamic licenses are required for-'each business location in the City. PLEASE PRIM" NaTre C 5 U-)of Z_ Business business.. phone: GOV7) Street address ofbLJSineSS: 7'00C) 5u-) SouLhNijami, Florida Suite - - Product(s)to be sold or No _!� 14�7 services)to be rendered: l�b" 67"d Name of oviner if Date business of business: � L 0 Pop, \72 e 7_1* VAIUdid Commence: "?7 Tax Social Drivers ID# 0 I-L se cu!i V Li # -�- 6 4z/ 0*6 License If proprietorship,name of p(opijelur if partriership,narnes of parwefs if Corporation,names of officers: /R, 260 IQ–F-4 L , C-5 LJ WILL 11-11S BUSINESS... Be a professional M- ES Join an existing office? 13YES Have door-lo-door ❑YES Operate from a home? DYES association? 0140 ONO service? I ONO DNO Require state licensing? RYES Require license DYES Be licensing fee exempt? 1E1J_Y_ES If yes, transfer? I DN( ONO provide documented proof. Number of Gross floor area of Number of parking spat as employees: 0/9(� 7S j� y business facility, exclusivelv for this use: QS X, (indudino owners and management) FOR RESTAURANT, Number of Health certificate liquor DYES If liquor is served, BAR. NIGIiT CLUB: seats provided: attached? 0NO be served? ONO attach license. Person who rill manage the business.. C L O Z 6!c_ R • P0 i2_774- C S, L4) phone: 6 Address of above person: 5-0 1:7, �_/C/0 9 7 SIREET Ciry STATE ZP CODE Name of properly ovelier Aze C?/�_ ('_so Zn FOR TRANSFERS,1-13T Phone: t L''s THE PREVIOUS: Business name: P0 rRJ--* Z' G.' 6, UJ_1 P-19 Owners: /00 rz"71 4Z' au, Address- 7'-00 6, U-) g �' �a 0 7 x-114A.11 >=-L '_?o I hereby certify that the above Hifbi-matioii is true card correct, to the best of my knowledge and belief. Jalso widersLarid that licenses obia*iied on a misrepresentation of iiiatei-i'al Tact arc nu-Q and void. SIGNED: /51`'` T11 I!-: DATE: � 7 Account Classification Year. _477 ---7Amount M Fee Transfer Penally Use- A SOUTH IMIAN11 'CCUPATIONAL LICENSE 'PLICATI-OiN MEG AJ As required by Cliv Ordinance. I lcrcb% make appilcation for an Occupational License. I understand that this form must be completed and returned with copies of proof of szt-iiii.ition set-%ices. I also understand that first tune occupants of any premises will be required to complete a Certificate of Use Inspection Form %vidi the 13 L Z- Dcparlllicrit- Scpamie licenses ar-c required for each business location in the Cirv. PLEASEPR114T Name of Business business: phone:Ir'S Street address of business: � �t South Miami, Florida Suite Product(s)to be sold or r4o. servic;e(s) to be tendered: V C_e-s Name of owner Date business of business: Z7/pt le5- will/did commence: Tax Social Drivers ID# Security License# -,;7— ,?,g— 2� if proprietorship, name of proprietor if partriersfiip,nar�ies of partners if orpoabon names of officeis: 7— c � C i WILL I FIIS.BUSINESS... Be a professional 1 OYES Join an eyisting office? DYES Have door-to-door DYE Operate from a home? DYES association? 01"40 service? j&Ols I0NOJ Require state licensing? 110YES Require license DYES Be licensing fee exempt? DYES If yes, transfer? I gNO 040 mvide documented proof. Number of Gross floor area or Number of paddrig spacial employees: 0'Al e— business f2c;i1ilv: exclusively for this use: -- b (including owners and manaoement) FOR RESTAURANT, Number of Health mt.ificate DYES I Will liquor DYES If liquor is served, BAR, NIGHT CLUB.- seats or-ovided: attached? ANO be served? 59j'O attach license. Person who vvill manage the business: e L' Phone: Address of above person: r) 0' ILL) Ve —3 3 S I FLEE T 0 ry STATE ZP CCCIE Name of property ovaiEr Phone: FOR UW6FERS, LIST THE PREVIOUS: Business name: f-")x"6's 7 rIq AL).0 /--j Address: c�,q 7 I hereby certify brat J! the above Mforriiatliori is ti-Lic arid cui-rcct, to the best of qiv lilowledge and belief. I also widcl-SiLaiid that licenses okaliicd on a iiii,-rcr)rc.scjjt.at.joii of material Tact are iiult acid void. SIGNED DATE: J�A 0 F F I C E U S 0 1`1 L Y- Account# Classification Year. CfU Fee Transfer Penalt'v Arnount _7 Use: CC',) 0 -4- ............ ....... 7- CITY OF SOUTH MIAMI �' t t APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B 8 Z Department. Separate licenses are required for each business location in the City. PLEASEPRINT �- Name ss � N0(2,- J /-,C)�to /14 „L CS b-} ?1q Business�3�� business: �— T— Street address phone: of business: 7000 �l Co to South Miami,Florida Suite ,,// Product(s)to be sold or No. `7' service(s)to be rendered: -SJ�C /��/� �� Name of owner � �-- � ,. Date business �� 0/� of business: will/did commence: / ' -a Drivers ID CGS V yr#�`� �' v ��-� License# i�` If proprietorship,name of proprietor if partnership,names of partners le2 � � _ if corporation,names of officers: �� WILL THIS BUSINESS... Be a professional .YES Join an existing office? DYES Have door-to-door DYES Operate from a home? OYES association? ENO I ENO service? l ]NO ONO Require state licensing? DYES Require license OYES Be licensing fee exempt? OYES If yes, ENO transfer? ©NO MNO provide documented oroof. Number of Gross floor area of Number of parking spaces // employees: business facir .. exclusively for this use: I fincludint;owners and mana ement FOR RESTAURANT, Number of Health certificate OYES Will liquor DYES If liquor is served, BAR.NIGHTCLUB: seats provided: attached? ONO be served? ONO attach license. Person who will manage the business:_`1 r. t- - - u - - ��' Phone: (3 o-) f: J, r Address of above person: ""t G c.0 LI�� M F STREET CITY STATE ZIP CODE Name of property owner H e,� j 7- �7 3 1+ Vii;. �� ' v ;� �� c�W Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: :: . � � , * 5 L. Owners: 5X -a ,- Q', Address- I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also unde d that Iice es obtained on a misrepresentation of material fact are null and void. GGiNfC L Su; ��r SIGNED• TITLE:,�ic�-,�: c: �ATE:s � r� / i ,! O F F I C E USE ONLY :- Account# Classification 3l/i�' Year e— Amount: C/U Fee Transfer /� Penatty /� Amount Use: CITE' OF SOUTH MIAMI �J � APPLICATION FOR OCCUPATIONAL TIONAL LICENSE As required by Ciry Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and rerurned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B &Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of Business, business. Z L)(f ht;�,4 ?' c:r;? ll✓ ; �u:,� - phone: Street address of business: �G ` a 6�jV �`'`�� South Miami,Florida Suite _ Produ.ct(s)to be sold or No. service(s)to be rendered:_11 L d t•c-/4 V< <e-S Name of owner Date business of business: `}G NUO c,i ° 0-U-Li i MlVdid commence: Tax Sodal Drivers ID# Co S -C)C) Pa 7 _ Security# rf - - 4 S-3 License# If propnet,,)rship,name of proprietor if partnership,names of partners ff corporation,names of officers: WILL T} IS BUSINESS... All Be a prof,:ssional 12TES Join an exisbng office? C]YES Have door-to-door I DYES Operate from a home? (DYES association? ONO 0 service? 0 Require slate licensing? ES Require license ES Be licensing fee exempt? YE If yes, ONO transfer? I ONO 2�0 rovfde documented orcof. - Number of Gross floor area of Number of parking spaces � employees: _ business fed, tty: exclusively for this use: 4' inciudina owners and management) FOR RES FAURANT, Number of u Health certificate OYES dill liquor OYES If liquor is served, BAR.NIGHT CLUB: seats orovided: attached? ONO I be served? ONO attach license. Person who vall manage the business: L.UC 'A)0 i9- le Phone: a-06(Q Cv Address cf abode person: rlo�c S�-�% Co a- GNU Y,�;��_ Suo i H b414V t t t-f STPY-ET CITY STATE DP CODE Name of _ property o-I'Vier 2/t S 0 L l h co , Phone: FOR TRANSFERS,LIST THE PRE AOUS: Business name: y C i AJ A- z,-,V 0 !tom(_ yP. Owners: G U c 1 N d,4 4A Address- LL) I hereby certify tJtat the above information is true and correct, to the best of my knowledge and belief I also understand that Iice btained on a misrepresenLition of material fact are null and void. SIGN j y TFFLE: DATE: O F F I C E U S lr O N L Y Account# �� Classification 652459 Year e /a �• Amount:eo 3� CIU Fee Transfer J Penalty /� Amount pa Use: - C[Fl, 0� 'SL)UT1 NUAM/ /\Pp[A(`/\T1Mr� FOP OCCUPATIONAL[PATIONAL [ICENSE ' As required byCity Ordinance. / hcrch,� ,nakcupyiicaxoo /nra/ Occupational License. | undcmood iliac this form must bccomp!ctedznd retumsJ with copicso[prvu[u[sa1/i[zuonscr,iccs. iz|som'dco/zu/ddutfirst tuncoccupu000f any premises viUbcrrquir:dmconp|c[c u Certificate of Use Inspection Fonx vidh the B L Z DcP,'m`cm. Sq:votc licenses are required /orcuc h business location in the Ci�y. PLEIA3EPR8VT Nameof Bus ness Street address C Suite Product(s)to be sold or No. service(s)to be ieridered: mc(licc-AA Name o/owner Date business of business: commence Tax Sooa| Drivers ~ ID It Uuenunft |/pmpnoto/ohip.name o[p/opxetur � J partnership,namcso[parU/ero _ Uco/pooUon.nn/�o�o(office/s: WILL THIS BUSINESS... Be a professiona] IKYES I Juin an exjst�ng office? DYES lave door-to-door DYES Operate from a 1101ne? DYES Require state licensing? '4YES—1 Require license OYES I Be licensing fee exempt? DYES If yes, tiansfer? CA-4 0 C%JqO provide documented proof. Number of Gross floor af ea of Number of parking spaces employees: business fablit . exclusively for-this use: (indudina oviners arid manacierrient) FOR RESTAURYVT�—--i�uTnber of Fieaflh ce7tificate DYES liquor is served, BAR. NIGHT CLUB: seats orovided: att,,(Jled? be Ladi license. � Pei-son who will manage�obusinesz P|ione: Address d above pers ' /oo� / GIRLET cry STATE Zr CDOE Name of FOR TRMSFERS, LIST THE PREVIOUS: ' Buoinessnamo: _��\_� �awim/s: ' Address: I lioccbN, ccr1ifv that the above izifzroiaiiou is l/oc and correct, to din best ufco lulowled zcaod belief. { also uDdcrS�mid that licenses Ubtnocdooaco�zc�ncJco�tiouof{uotc�8] fact are nnOwudvoid. / S8NBl �TU� DATE c-u Account ft C1, ification CITY OF SOUTH MIAMI APPLICA-l"10N FOR OCCUPATIONAL LICENSE 'a , As required by City Ordinance. I hereby rnake application for an Occupational License. I understand that this form must a completed and returned with copies of proof of sanitation, services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the 8 &-, L Department. Separate licenses are required for each business location in the City. PLEASE PRINT_ Name of Business business: 6)L I'P `-� �-Q&-d H- ` .1,- ZZI e 1A'Jphone: Street address. ) s of business: �� / ` �°� �' - South Miami,Florida Suite Product(s)to be sold or 7T No. service(s)to be rendered: 11 c:�1'e-4 Name of owner ` Date business of business: �� ✓ ! -� ` 1 � lrn vailVdid commence: 7 Tax �- Social Drivers 10#—_- __._..-._ Security l, 3 6 y License# if proprietorship,name of proprietor if partnership,names of partners n� if corporation,names of officers: G i 4---l/1151.z) 1-7 /Z- &'--i WILL 71-liS E3USIN(^SS... Be a professional nYLS ,loin an exisvng office? EIYES Have door--to-door C7Y� Operate from a home? C]YES association? ❑NO - �It� - service? ENO Require state licensing? ( 13YES Require license f.IYFq Be licensing fee exempt? 0 YF�,S If yes, . (�PJO transfer?? 40 0 provide documented oroof. Number of Gross floor area of Number of parking spaces / employees: business facilitT. exclusively for this use: L including owners and mana ement FOR RESTAURANT, Number of Health certificate ®YES Wiii liquor OYES if liquor is served, BAR. NIGHT CLUB: seats provided: attached? C7NO be served? CINO attacft license. Person who will / manage the business: �_ s✓ : �! } 2) Phone: �5� G - D 6 Address of above person: �'�'�� _ J-' ZU/ ' � �y� 3 / l e�h - 3 i /)/j STRFFt 7` Dry STATE ZIP CCOE Name of property ovener FOR TRANSFERS,LIST ��-^�- / THE PREVIOUS: L��; / f ' I . ^l( / Business name: ) J �_j �,f_ Owners: �c irk/ _f Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material Pact are null and void. SIGNED— TM-E: j.� i �1t .t c��.a,v�) DATE: , G / }� F F I C E USE- +'NLY- Atxcount# Classification Year �2 !Vnount C,rU Fesyyr /� I Transfer - Penalty Amount �- Us I`C``'� CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATIOIF 6130 Sunset Drive,South Miami,FL`33143 ' •. ` c i'�"iL,��a"�'� Phone: 305 663-6343 * Fax 305-663-6346 e Department one: El NEW BUSINESS ®EXISTING BUSINESS ❑ HOME BUSINESS CHANGE OF ADDRESS ❑ CHANGE OF NAME ; se Print BUSINES 1 RPORATION NAME PHONE: ' f � 1 I.3 9 K APPLICANT NAME: DBA: _ BUSINESS ADDRESS: 1 MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARLTNERS OR q,0RPORATE OFFICERS) - � �DATE BUSINESS WILL COMMENCE IN THE CITY OF SOS UgTH MIAMI:°_ ; ` , • Si 2 #: �d � �Cl� .� L D.L.#: �Z l�`i 'Y)�.� Tax ID#: S.S. LD �\ PHONE PROPERTY OWNER: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: -h CQ MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: C� GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: -SITE REQUIRED DO YOU CURRENTLY HAVE A COVENIT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF PARKING FOR THIS USE: ❑ YES V NO (IF YES, SUBMIT COPY OF CONTRACT.) P,J., WILL THIS BUSINESS: a NO ➢°JOIN AN EXISTING OFFICE: Name of office: D �� - f�s6; ES NO ➢'. BE A PROFESSIONAL ASSOCIATION: L ES LI NO ➢. REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) `Cry' N O ➢: BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES N °co Nom: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. AOccupational Licenses expired on September 30t'' of each year and all merchants are responsible for renewing their..license ach year. I s ear that all the above information is true and correct. �^ SIGNED TITLE I LL ILi �( DATE F3 �. m .. • >OFFMC.IAL..USE ONLY 4TEMS. �A Um 1� �% LICENSE C),ASSIFICATION: Q USE APPROVED BY: ` DATE: r ( TRANSFER PENALTY YEAR: L1�ENSE NO: TOTAL ld UE DATE: �' BY: r {, OF SOUTH MIAMI• - ,� CERTIFICATE OF USE APPLICATION 6130 SUNSET DRIVE SOUTH MIAMI,FL 33143 Phone: 305-663-6343 *Fax 305-663-6346 Finance Department Please punt Business Name 544 6 o n 5 11<aa 1M C ey1 Ce 4r- Phone 7,F6 - W 7-q qyo �mr wpm" Address 70 00 Sul g l _fit"� a _ m,��,VTDate 112a/a Owner Naive I�lGhar-� A- ekrSen 14 Type of Business Owner's Signature OFFICIAL USE ONLY ZONING DISTRICT ��—�—� INSPECTION FEE $ 75.00 y �" :r..'Y.E��Wf� ,.�..--. Y:;: ..: Y!'1C� `-' ..• .•,; ,':.11�A'QL' '-' .,'. `.'"R'X�®�pli t......:'r': C.eY6 \.1►N�BfJVIJ R REPERMT ISANMkUCN PAMAIMUM Imp—, I GROSS FLOOR AREA OF BUSINESS FACILITY: 21071 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS LASE: �D DO YOU CURRENTLY HAVE A COVEN,ANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES VNIO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office: ❑ YES Ua/NO • BE A PROFESSIONAL.ASSOCIATION: ❑ YES Q/NO A • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES Lit/N • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES 2 NO Note: Restaurants, bars or night clubs attach health certificate anc liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 301h of evch year and all merchants are responsible for renewing their license sFiryem I swe a a above information is true and correct. SIG _ TITLE DATE 10 0. ' y USE: O_�) `�� LICENSE CLASSIFICATION: C.U. 00 USE APPROVED BY: _ �` DATE: _ TRANSFER LICENSE NO: 0 YEAR: PENALTY ISSUE DATE: _,• ,"�.� �_�_BY: �_� TOTAL D�.�s 3 CITY OF SOUTH MIATMI OCCU ATIONAL LICENSE APPLICATION 61 0 Sunset Drive, South Miami,FL 33143 P one: (305) 663-6343 Fax 305-663-6346 - Finance Department Check one: la NEW BUSINESS ❑ EXISTING BUSINESS ® HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OFEIAME r.t H Please Print NAME OF BUSINESS /� BUSINESS OR APPLICANT NAME:�� ✓aK /'I I Y} LI e7�GZ , M _�PHONE:�JgfP �fq 7— BUSINESS ADDRESS: !r9OQ Sal �P �TV� STa�5�0 , 6m L 33/�a r� MAILING ADDRESS: 49.0— 6AI, - 33/ a y1 NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) Y'7 DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: r' _ ,p Tax ID#: �I 7i '�J 'ZJ 7i S.S.#: �'j—�9f! - �'/,3 3 D.L.#: Q (/� Emergency Contact R'Person/ &Kan a B rmc'h p PHONE: 2,T QT, PROPERTY OWNER: I (.L_'L 5404A C�dl�II�d1Y�TC� PHONE: l o?D / 3 xx-nxxxxxxxxx�xxxxxxxxxxxxxxxxxxxxxxxxxxxfxxxxxxxXxxxxxxxxx,txxxxxxxoxxxxxxxxxxxx-rxxxxxxxrxxxxxxxxxxxx,tvxxxxxxxexxxxxxxxxxxxxxfrrxrxxxxxxxxxxxxxxrrxxxxxxxxxx FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: M6tnc -L MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ® l GROSS FLOOR AREA OF BUSINESS FACILITY: .2e O-J q SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVE�NNT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: L] YES Ld NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: (►� 4 JOIN AN EXISTING OFFICE: Name of office:Rt a A rTi �✓�Y"� O3/YES fe NO ➢ BE A PROFESSIONAL ASSOCIATION: Q YES Id NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) D YES d NO Y BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) L] YES Y NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational.Licenses expired tember 30th of each year and all merchants are responsible for renewing their licensee I e at all th above information is true and cjo�r ect. SIGN TITLE� YL1 OWn DATE L L 17 z '0 F11 USENLY.`": .x � _, ...:,' TEflIIS. . ,. FEEpS USE: =S-7) _ C.� LICENSE Iso- CLASSIFICATIUN: C.U. USE APPROVED BY: C < DATE: 3d TRANSFER LICENSE NO: 517 YEAR: _ PENALTY TOTAL ISSUE DATE: BY: �� - CTTY OF SOUTH MIAMI .; OCCUPA'TIONAL LICENSE APPLICATION` , 6130 Sunset Drive, South Miami,FL 33143 Phone: (305)663-6343 *Fax 305-663-6346 Finance Department Check one: NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF--',.NAME r� Please Print NAME OF BUSINESS //�� %� BUSINESS OR APPLICANT NAME:�--9 �� /7 --�Pe �r5em ML) V PHONE: �i�(D BUSINESS ADDRESS: _ 00 5Aj (a4 f7Gt6 in T414 r�• MAILING /� - - a ADDRESS: lew t�0�_ 01T `�o--/- m 33/ ? `-' — e.-9 NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE.OFFICERS) DATE BUSINESS WILL COMMENCE! IN THE CITY OF SOUTH MIAMI:_ via A,'► l ?i0 a l� Tax ID#:,6'41 -2-7- 9332 S.S.#: /96-' Wa D.L.#: �,Q/�� [�3OS- 4St8`-fle'�1 4 Emergency Contact Person: &ayia -6YA.� PHONE: �!¢ T'7 y 7& PROPERTY OWNER: 14 5 V 1 : _PHONE: ��J �� `� -!/ xwrrwwwwwwwwwwwwwwwwwwwwxwwwwwwwwawwww,rrwwwxwwwwwwwwwwwwwwwxwweiewwwwwwwwwwwwwwwwwxwwwwwwwwwwrww,rwwwwew,twwwwwwwwwwxrwwwwwwwwwwwwrwwwwxwwwwwwwwwwwwwwwwwwwww FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: _ SERVICE (S)TO BE PERFORMED: ar!!Mca- MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ® ' GROSS FLOOR AREA OF BUSINESS FACILITY: ;L0 0 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: Dfi _ DO YOU CURRENTLY HAVE A COVEN T, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF.-SITE REQUIRED PARKING FOR THIS USE: ❑ YES O (IF YES, SUBMIT COPY OF CONTRACT.) it WILL THIS BUSINESS: /� ''rr ➢ JOIN AN EXISTING OFFICE: Name:of office:(, A . V r �� ❑ YES 411(NO Y BE A PROFESSIONAL ASSOCIATION: ❑ YES Lit/. NO r REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) El YES " NO Y BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) L3 /YES !,d' NO. Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All OccLipational Licenses e c on Se tember S®ch of each year and all merchants are responsible for renewing their licens ch yea . ear that all t above information is true and correct. SIGN _ __ TITLE_ � DATE CIFFiC� , IIEn� U `ON Fit' USE: LICENSE CLASSIFICATION z C.U. USE APPROVED BY: DATE: wld(z�r TRANSFER LICENSE NO: ,6 YEARN PENALTY ISSUE DATE: .— �Q BY: TOTAL CITY OF SOUTH MIAMI .1 F1191S OCCUPATIONAL LICENSE APPLICATION : Y 6130 Sunset Drive, South Miami FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 F; Finance Department _ .,... Check one: NEW BUSINESS ❑.EXISTIt�tG BUSINESS E HOME BUSINESS. C7 CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME g , BUSINESS OR APPLICANT NAME: iC :` .r"Se)�c.e-CeS PHONE: --2X 62 l-ra B_~ r,. DBA: BUSINESS ADDRESS: `IL'/�.�'%' �:L� �?��`ct t.Q�i��se�_ S�l �� •( E C��A. ��%r_� MAILING �U�'Pe_,o l3 a2- ts=%'a i'•L ADDRESS: 7_ -!4!i l2 P 's4 NAME OF OWNERS(FROPRiETOR,PARTNERS OR CORPORATE OFFICERS) -yam L..L,7'�j`�-�Gt-f-I� ��-��.i•�TL�'.�!° t1/-�Sf'L4:F c.�� .j_.t�-.ii-) J�1 E: DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: I1• _ Tax ID#: '�� S.S.#: D.L.#: 4 PROPERTY OWNER: PHONE: 3 If`41 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: n. s •�•e^ PRODUCT(S)TO BE SOLD: oGSC l SERVICE(S)TO BE PERFORMED: --(i -►e s - - MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: '7. SQUARE FEET F� NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS LISE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ;5CNO (IF YES, SUBMIT COPY OF CONTRACT.) E `` WILL THIS BUSINESS: his:� f ➢ JOIN AN EXISTING OFFICE: Name of office: i j, ❑ YES Lf. NO ➢ BE A PROFESSIOhIAI.ASSOCIATION: � L'lw.l ❑ YES NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PRO I) r E �;� IE,. 14s1 ❑ YES ®' NO ➢k BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROS . ��`IN '=' ��(�_ `��` ❑ YES Y NO Note: Restaurants, bars or night clubs atta--h health certificate anc liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their lice each year. I swear that all the above information is true and correct. SIGNEDF [ .,.- C � TITLE f�Es i r e S r'�ta DATE �`7 �S INS9�. _�1,"�'q�..t . i r.� KL`�' ti a,' _''°; ...r.�... z..F._ USE: .I i � J� � (�G LICENSE 7 CLASSIFICATION:�`/ _ C.U. G USE APPROVED B DATE: _ TRANSFER LICENSE NO: �C �! YEAR: PENALTY ISSUE DATE: _.. .= 7'� BY: - ,_ TOTAL _ Y`i 7 CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: a!�✓,�� 2 Z"vZ'/-- PHONE: . BUSINESS ADDRESS: 00 S (-d s. �-2 MAILIN G ADDRESS: SRS DATE BUSINESS DIDAVILL COMMENCE IN SOUTH MIAMI TAX ID 3 Z� 7? S.S. #: D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS: PHONE: •' .'• PROPERTY OWNER : 44 r,�r7 ��L PHONE: • .�3 •• • FOR TRANSFER LIST PREVIOUS VALID LICENS O. P l�,r, ,�� • PRODUCT(S) TO BE SOLD: " SERVICE(S) TO BE RENDERED: ,�/,�.L_ • GROSS FLOOR AREA OF BUSINESS FACELITY- A QUAREI'`I •...:. NUMBER OF PARKING SPACES EXCLUSIVELY FOR TTtS USE: %p •• NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: •"• " . . .. . ..... WILL THIS BUSINESS: •• •• • BE A PROFESSIONAL ASSOCIATION YES NO • JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO • HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A HOME YES NO REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO t RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED ` TITLE /� '' s�i_S' .�/�� DATE OFFICIAL USE ONLY FEES USE: LICENSE CLASSIFICATION: C. U. USE APPROVED BY: DATE: 'Q _ TRANSFERS. ACCOUNT NO.: > '- r YEAR: �,; y'y PENALTY ISSUE DATE: BY: d�� TOTAL a•� �u� Ur 5UU i-H N41AMI APPLICATION FOR OCCUPATIONAL LICENS / As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and retwmd with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B &- Z Department. Separate licenses are required for each business location in the City. PLE4SE PRINT 1 _ 74=' -17G 1 DE-'' Name of `G Business_eEC -W A �S ,J. /:1/4 phone: Street address —14-0 of business: �CQ--1 SV,/ 6-21110 f Suite Products)to be sold or South Miami,Florida No service(s)to be rendered: 7?-/ Name of owner of business: Date business Tax Soctal wiill/did commence: D# ��`J Q� Security#Z-6-'-6:5 ° 364- Drivers If propnetorship,name of p detor License# if partnership,names of partnitrs if corporation,names of officers: /1M• &Z-:, i ,Qe w`��; / � G .wit ��• f3�=1 � �a"'" WILL THIS BUSINESS... Be a professional MMES Join an existing office? I XfES Have door-to-door DYES Operate from a home? OYES association? ❑NO `?%-G service? I MNO MO Require state licensing? , YES Require license IINES Be licensing fee exempt? I DYES If yes, ❑NO transfer ONO DNO provide documented oroof. Number of Gross floor area of Number of parking spaoes employees: Di/� business f ciW. �'��`- exclusive forthis use: 0 (mdudmo owners and management) FOR RESTAURANT, Number of Healtit certificate DYES Will liquor OYES If liquor is served, BAR. NIGHTCLUB: seats orovided: j attached? I3NO be served? MNO attach license. Person who will manage the business: �- Phone: � y05 Address of above person: r6- S ��2 14M? r t Name of STREET cay STATE ZP COM � / property owner )-61 t� �1 r�c r u r`r, Phone:_ ' FOR TRANSFERS,LIST THE PREVIOUS. Business name: F'f' � f>`x�- �' 4 CS �i. ° - � r Owners f�. rf?Gc`;�%C Lip/✓x; �.jC�'C�R�i�. Address: '7[a f r 72 5,/2EE , 6u17-6- :2/;a SG�lr7 I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also unders` d that licenses obtained on a misrepresentation of material Fact are null and void. SIGNED: -l1 T�fLE �i=ilk/?v OATS T OFFICE USE ONLY,-- Account>+ �� I Classificnon Q . Year I • I Amount CIU Fee �� Transfer ( Amount o Use: /'✓.�/C�/.'�'"�/'�J ✓� / i��l /L�/ � ` U / c� ArrLILAI lulu t'UK OCCUPATIONAL LICEN.i ::: �/��/ ; As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete a Ceniticate of Use Inspection Form with the B &- Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT 740 -l 7.2&/ •yam/ -- Name of B =e ' business ��fI�LcNC i�Lvn/ Bef'so2A LCS�/. p/� Street address phone: 70 of business: 7�O SV-'1 rc2.'1D '4VE ; South Miami,Flonda Suite /�- Products)to be sold or ' No. -54 semoe(s)to be rendered: /�%YC1-/0 7?4 c,4��,�2P Name of owner Date business of business: >i9��F�1[= A�o�-`moo- F��2/-� wdlldtd commence: Tax Social Drivers toy �5-J9�3 n 'sea, #263 f`ioense# t3z� If pmpnetorship,name of p netor if partnership,names of partn -ff corporation,names of officers- WILL THIS BUSINESS... Be a professional (BYES I Join an existing office? AYES Have door-to-door QYE$ Operate from a home? AYES association? DNt3 `1% -G . 3 a service? LINO I Ono Require state licensing? DYES Require license I Be licensing fee exempt? DYES If yes, DNO transfer? DNO I DNO Provide documented oroof. Gnus floor area of =NumbeLr of parkin g spaces empl y s�:business facW. fv forthis use: C�'F (mdudrnc owners and manaaementl FOR RESTAURANT, Number of Health certificate DYES Will BAR.NIGHT CLUB: seats provided: �� attached? ONO be served? ERNOS attach license. Person who will manage the business: ' .v� - 4 Phone: Address of above person: /oaf/ S;�i �¢ CIr21- �f/19rc> FL 33/50 S&WI QTY STATE ZP CLUE Name of _ property owner - �� ,ICJ U �� I C r a -L ('o n Phone: FOR TRANSFERS,LIST THE PREVIOUS. Business name: ��' -'� Rwti �' �s�-1 Owners /t L � Address: 67C r S Cc.) 72 S;k�eE T, SL,iT4�- :2/-Z T74 I herebv certify that the above information is true and correct, to the best of my knowledgge and belief. I also understand that Iicenses obtained on a mis•epresenmtion of=erial Fact are null and void. SIGN® TTi1 E Y DATE 7 OFFICE USE ONLY• — Ac=unt x 9 "p0ca7 y� _ ( Classification Year (� Amount C1U Fee � Transfer Penalty Amount o Use APPLICATION FOR OCCUPATIONAL LIC er required by City Ordinance. I hereby make application tor an p ENSE returned with copies of proof of sanitation sen ices. I also understand that first a Certificate of Use Ins ection Form with the B Z Department. License. I understand that this form p occupants of must be completec ParTrncnt. Separate licenses are required for each btusiness(location in the City l PLE4Sc PR1iVT Name of busmess: Street address //j 6� 19 . _ Business - of business: 7G' � phone: '2 S— -7 Suite Product(s)to be sold or No. Sy_ service(s)to be rendered: Name of owner �— .—. South Miami,Florid Of burin ess: G'C I Ic Tan Date business ID# S—o 5'7,5-6 ;5,. / social wiNdid commence:If proprietorship Secu # �y name of Proprietor ' �— S — �- Drivers if partneiship,names of partners License# if corporation,names of officers: WILL THIS BUSINESS... Be a Professional !pyES Join an erastrn association? ENO g office? &1-70-S Have door-to.door �yES Operate from a home? I AYES service? p�0 Require state licensing? MyES Require 0 ONO �y Be liming fee exempt? QyES If yes. Gross floor area of rovide documented oroof. business faOW Number of parking spacm Number of FOR RESTAURANT, N exciusivety,for this use. ,� employees: BAR.NIGHT CLUB: umber of � (rndudino seats orovided.. Health ficate AYES owners and management) arch Wiu liquor AYES If liquor is served, Person who WS CNO be served? ENO attach license. manage the business: f°�,�,J � — � Address of above person: Phone: -5Z — Qa Name of STREET r�I Property owner MY ��/s STATE FOR TRANS S.LIST 1P Cox THE PREVIOUS. Phone: Business name: Owners Address I hereby ce ufv that the above I also /u Crstand that licens o u°n is true and correct, to the best of obtained on a my knowIedQe and belief /.'' misrepresentation of material Fact are nun and void. SIGNED: -�' nTLE / DATE f' G �j / / 7 E ace=cunt x '�c� % O F F I C U�S E- 0 N L Y -- �ear., �- j2 Classification .N Fee ,� °G Amaunr. ° Transfer �` I se: Amount �� o / I o:mecim ray= CI'T'Y OF SOUTH MIAMI LOCAL I3t3SINESS TALC RECEIPT :rs;?irfire, 6130 Sunset Drive,South Mian 2 i,FL 33143 Phone:('305)663-6343#Fax 305-663-6346 Finance Department Check one: Q NEW BUSINESS [•]' EXISTING BUSINESS D HOME BUSINESS CHANGE OF ADDRESS © CHANGE OF NAME Please Prfrtt r �� BUSINESS �o..y Cfi(J CORPORATION NAME �. i PHONE: OR APPLICANT NAME: DBA: ( ` ok BUSINESS ADDRESS: t�f U F i r,( e- 5. J�U MAfLiNG � / 332q3214-0 33l 4�3 ADDRESS: NAME OF OWNERS-(PRQPRiETOR,PARTNERS OR CORPORATE O FICERS DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tt Tax.ID#: 373 ' ' S.S.#: I D.L.#: - 1 PROPERTY OWNER:. PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: .A A _ MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MAf AGERS; GROSS FLOOR AREA OF BUSINESS FACILITY: 6 j?;&o5C " 2-� SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: -- 2 DO YOU CURRENTLY HAVE A COV NANT,EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS'USE:LT YES NO (IF YES,SUBMIT COPY OF CONTRACT.) i ) WILL TI�I7S BUSINESS: ! I �,{46•a�zcJ �"' I '` iP / N i� YES 0 NO Y JOIN AN EXISTING OFFICE: Name of office: 1 d'c� I ❑ YES Z1 NO { `r BE A.PROFESSIONAL ASSOCIATION: El YES !. NO v REQUIRE STATE LICENSING:(IF YES,PROVIDE PROOF) BE LICENSING FEE EXEMPT:(IF YES,PROVIDE PROOF) Cl YES D NO ' Note:Restaurants,bars or night clubs attach health certificate and liquor license. All applicants musi provide proof of sanitation services. f All Local Business Tax Receipt expire'on September 30th 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. , t� •, SIGNED LV'>(% ``),'y' '� TITLE 6'1. 0 DATE { y ODIC H lulu LS �—� l iLICENSE CLASSIFICATION: DATE: t 'TRANSFER W L USE APPROVED BY: 1\ I LICENSE NO. ` [0 YEAR: PENALTY _ ) 6SSUE DATE:: BY; TOTAL _.. ..................... ........ .................. i i CITY OF SOUTH MIAMI LOCAL,BUSINESS TAX RECEIPT 6130 Sunset Drive,South Miami,F1,33143 RECEIVED Pho= (305)663-6343 *Fax 305,-663-6346 [AAA 11 2010 Finance Department r" IYr I LIF_ N Check One: L:] NEW BUSINESS EXISTING BUSINESS Li HOME BUSINESS C2 CHANGE OF ADORES S Q CHANGE OF NAME Piamo Print BUSINESS CORPORATION NAME Q ) �t� �� PHONE: OR APPLICANT NAME: GBA: Go BUSINESS ADDRESS: /o MAILING U l 76 : A _ NAME OF OWNERS(PROPRIETOR,PARTNE S OR CORPORATE OFFICERS) '7 f� DATE BUSINESS WILL COMMENCE IN THE CIT OF SOUTH MIAMI: Tax ID#: �Ua wJ S.S.#: Q.L.#: C NE: PROPERTY OWNER: FOR TRANSFER LIST PREVIOUS VALIC7 LICENSE NO: PRODUCT(S)TO BE SOLD: f I SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: i/n SQUARE FEET GROSS FLOOR AREA OF BUSINESS FACILITY: (� NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENAN F YES, SUBMIT OOPY OF LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: (3 YES WILL THIS BUSINESS: 1 � > JOIN AN EXISTING OFFICE: Name of office: ❑ YES , NO BE A PROFESSIONAL ASSOCIATION: ❑ YES fi MLiQO ➢ REQUIRE STATE LICENSING:(IF YES,PROVIDE PROOF) U-Af15S ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES,PROVIDE,PROOF) D YES Ml-7O Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. f�. All Local Bualncsrs Tax Receipt�xOf South Miami is at requlaed to provide renewal notification.responsible for renewing Their license eaysar`- + TITLE 1_6 SIGNED DATE USE: 0 X17 hid U' 1 ce LICENSE CLASSIFICATION: 03 G.U. USE APPROVED BY: ii BATE: !b TRANSFER LICENSE NO- J YEAR: ® � PENALTY Iffe, ISSUE DATE: BY: TOTAL l k1 �� OGC PAGE 03 CITY OF SOUTH MIAMI LOCAL BUSINESS TAX RECEIPT 6130 Sunset Drive,South Miami,PL 33143 Phone: (305)663-6343 Fax 305-663.6346 Finance Department Check one: D NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS 0 CHANGE OF NAME of""print OR APPLICANT NAME: i �'�JN /� BUSINESS P,4 � 1 —PHONE: DBA: BUSINESS ADDRESS. —7600 Li-) (� p. U 1 �_742 _rv(, &' ADDR SS: D �� MP JOA 77b �?_ I NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS /WILL COMMENCE IN THE CITY OF SOUTH MIAMI: S-S-#: 11146-7 Io2 V1 D.L. PROPERTY OWNER: A�w Ada f f PHON 0,5 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: a I PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED; MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ► (I RECEIVED GROSS FLOOR AREA OF BUSINESS FACILITY; NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: �--a QuAF�� 2010 i DO YOU CURRENTLY HAVE A COVEN . EASEMENT, OR LONG TERM LEASE (CONT FINANC� DE T. RED PARKING FOR THIS USE: ❑ YES NO (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: Y JOIN AN EXISTING OFFICE: Name of office: 0 YES M---NO ➢ BE A PROFESSIONAL ASSOCIATION: > REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) L S ❑ NO EYES ❑ NO � BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES El Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Local ecoipt expire on September 30"'of each year, All merchants are responsible for renewing Their 11cense each The City Of South Miami is not required to provide renewal notification. SIGNED TITLE DAT Q/ IlT USE: 0D Luty-S MCAl'C LICENSE r CLASSIFICATION: 03 C.U. USE APPROVED BY: IV v(L DATE: Ito TRANSFER LICENSE NO: Z ® �i YEAR: ll PENALTY 15SUE DATE: (ri BY: TOTAL U CITY OF SOUTH OCCUPATIONAL LICENS mn 6130 Sunset Drive, South Mir Phone: (305)663-6343 * Fa 5 6 Y Finance Department ` z` Check one: ❑ NEW BUSINESS ''d EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME ^^ BUSINESS OR APPLICANT NAME: Pf�l<;Vrn Q ...('_(;t_If C1� E._ Lyl _ PHONE: DBA: BUSINESS ADDRESS: °-1Q0C) J (st`Zno �i-is-(' c_ �- 0 Ilk Yl\ , � 31 L}3 MAILING ADDRESS: -.5-( I-Y)J NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#:xa l?ao c ';�-S S.S.#: tR&I9-fErZ -1°;q 5--73 - � PROPERTY OWNER: 1"Yk)fa0k ' Q, �1 fA,,-eyi -2 PHONE: Ji FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: 1�1 j P� SERVICE(S)TO BE PERFORMED: ` -��_ -- •,-� a01'1GW-(V ��(t'�_ t3;--i r cg MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ML GROSS FLOOR AREA OF BUSINESS FACILITY: 13C`0' SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 9O DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES :a-NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: t: JOIN AN EXISTING OFFICE: Name of office:-j�L.-WCan, (`I 1 i Y)1Cr.\ `{-v"tCLAS YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES ,Q NO > REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) U YES ❑ NO ➢.. BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30`h of each year and all merchants are responsible for renewing their licen a ach r. I swear that all the above information i true and correct. , SIGNED TITLE ��Z71 DATE D �. -OFFICIAL - USE ONLY.<. �:_ � ITEMS=!� FEES USE: o - C � i� �Ci�r LICENSE l�e s� CLASSIFICATION: 0 C.U. USE APPROVED BY- ( DATE: h(/Z IT10 6' TRANSFER LICENSE NO:r. ,( a 61, -YEAR: %:' PENALTY TOTAL ISSUE DATE: r�CJ ':?a BY: �'� ! �_ VVVyVJY� PAGE 02 ."w CITY OF SOUTH MIAMI �LE'�N e +, OCCUPATIONAL LICENSE APPLICATION 1 6130 Sunset Drive,South Miami,,FL 33143 1 6 2q •�� Phone:(305)663--6343 'Fax 305-66 ^•` ,.�+ 3-6346 Finance Department ANC D E Check ona: ❑ NEW BUSINESS Q EXISTING BUSINESS d HOME BUSINESS ❑CHANGE OF ADDRESS Pleaae print �{� 4e" A C'4-3 r)C--cc t 0� CHANGE OF NAME CORPORATION NAME OR APPLICANT NAME: ' d�C1N10E2�1 �-� k �C ,� 5�� P 4 BUSINESS _ DBA PHONE; BUSINESS ADDRESS: C7c� ��,LJ 3=3N3 MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) y DATE BUSINES$;WILL COMMENCE IN THE CITY OF SOUTH MIAMI: 0 O Tax ED#: -2093 S 7 G'k4,D— 1 S.S.#: D.L.M G CIO— T 30— (01—Q ?S PROPERTY OWNER: �_�.� PHONE: S— FOR TRANSFER LIST PREVIOUS VALID LICENSE NO / nono j PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: e- MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: _-2C^ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 5 DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE;(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES VLNO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: D JOIN AN EXISTING OFFICE: Name of office; D BE A PROFESSIONAL ASSOCIATION: ` iES NO REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) A YES ❑ NO ➢ BE LICENSING FEE EXEMPT:(IF YES,PROVIDE PROOF) X YES 721� NO Note:restaurant,bars or nightclubs attach health certificate and liquor license. All applicant❑m must p NO provide proof of sanitation services. All Occupational Licenses expire on September 30`h of each}rear. All merchants are responsible for renewing Their license each}rear. The City Of South Miami is not required to provide renewal notification, SIGNED �' -- TITLE_ ov aC_� V.DATE efzlo e I • USE: oDD lUu•s C co4lcaQ 0 'cc CLASSIFICATION: 0& LICENSE USE APPROVED BY. C.U. - DATE: + o t TRANSFER , LICENSE NO: YEAR:� ISSUE DATE': PENALTY `� sY: / TOTAL l U SOUTH MIAMI fIONAL LICE P 7 - TI ,,,N 3. �. 6130 Sunset Drive,South ea lc ,T43-J' � � ;'•`:` ° Phone: (305)663-6343*`F #O5 63461� art rent one: ❑ NEW BUSINESS EXISTING BUSINESS El HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print f r BUSINESS CORPORATION NAME l i �,1 r�r�p„�� PHONE: 5� OR APPLICANT NAME: �� Q I BUSINESS ADDRESS: �1i7U� , Y)A)ti k� l 33 t MAILING _ ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DO DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: L l7I (U ( � Tax ID#: �`U'�j^.� �`�l S.S.#: D.L.#: Z, PHONE. . PROPERTY OWNER: �e�' � FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: ° 'v 0 �Zo SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: � SQUARE FEET GROSS FLOOR AREA OF BUSINESS FACILITY: �1 00 NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: ENT, OR O LEASE(C DO YOU CURRENTLY HAVE A COVENANT F, E YES, SUBMIT COPY OF CONTRAC ONTRACT)FOR OFF-SITE REQUIRED .PARKING FOR THIS USE: El YES 'P N WILL THIS BUSINESS: { ❑ YES NO ➢fi JOIN AN EXISTING OFFICE: Name of office: ❑ YES 121 NO ➢ BE A PROFESSIONAL ASSOCIATION: G5'j YES E3 NO y REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES t4 NO ➢._;? BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) Note-. Restaurants, bars or,night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services (F oth All Occupational Licenses expired on September he above infoof each year trued all merchants are responsible for renewing the i ense each yea we tAa t tL Ac yl•+ DATE TITLE SIGNED ITEMS ICIA USE'ONLY; • FE �+ LICENSE (. OSE: -Fell)J f v,� �' S: C.U. CLASSIFICATION: C.. = DATE: [ TRANSFER USE APPROVED BY: ,'/S YEAR: PENALTY y LICENSE NO: �� 'f 04- BY: TOTAL ISSUE DATE: r ` C' ;F 2 UlTY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION�— F ,l 6130 Sunset Drive, South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 jUjj 1 RIM Finance Department DEPT. Check one: W NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print ` l CORPORATION NAME --- OR APPLICANT NAME: bn C° n 9 6G� BUSINESS�;�' `� _ :s K�EC�_ �. F PHONE: ��Et'b LC�� DBA:_ u BUSINESS ADDRESS: MAILING ADDRESS: NAME OF OW_NEERSt(PROPRIIE`TOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax 'Au,I-Q— S.S. #: D.L.#: PROPERTY OWNER: PH0NE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO:_ ` �► PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: Fig] J.- GROSS FLOOR AREA OF BUSINESS FACILITY: ) uck SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: , D DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES )4 NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ��r ( z✓� ➢ BE A PROFESSIONAL ASSOCIATION: kl YES ❑ NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO, ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) YES ❑ NO Cl YES IP NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30`h of each year and all merchants are responsible for renewing their licens ach year. I sw ar that all;the above information is true and correct. SIGNED 1� � � �i (� TITLE / DATE r ,OFFICIAL USE ONLYa USE: \ \ 6i /r LICENSE CLASSIFICATION: �—� a USE APPROVED BY: DATE- 1W71 7 TRANSFER LICENSE NO: �_ t zf,'Gr+ YEAR: �,�� PENALTY ISSUE DATE: BY: TOTAL �' CITY OF SOUTH MIAMI �1 _ OCCUPATIONAL LICENSE APPLICATION c i ti;a - 1Fa I= 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 ance Department peck one: NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME BUSINESS kvo� j OR APPLICANT NAME: •11 o ` `f -�L.� ' '� ' PHONE: lC, `.- 0 DBA: BUSINESS ADDRESS: MAILING ADDRESS: \fit 't1 NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) jo ' ®� DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#:QD "1 LVALOL s.s.#: D.L.#: PROPERTY OWNER: `\_.�� ` n FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ►J GROSS FLOOR AREA OF BUSINESS FACILITY: EIS? SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES 4NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES ❑ NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) `P YES ❑ NO ➢• BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license` ch year. I swear that.)all the above information is true and correct. SIGNED TITLE / 4 DATE OFFICIAL USwE:ONL,Y^. ITEMS FEES ._ USE' i�� fi"� , l` dat C� i'� ��` LICENSE S^ 7 f CLASSIFICATION: / ,+ C.U. USE APPROVED BY: DATE:(;12 TRANSFER LICENSE NO: C C17 8 A' N YEAR: /;N) PENALTY -� ISSUE DATE: —7 — 1°a" -�` � � BY: `��" TOTAL �^ rn*5 lvtl 11, CITY OF SOUTH MIAMI ri EF 7v OCCUPATIONAL"LICENSE APPLICATION 6130 Sunset Drive,South Miami,FL 33143 AP R 2 1 2�p�� Phone:(305)663-6343 *Fax 305-663-6346 Finance Department •-" - FiN.AN�F DEPT.P s- Check one: NEW BUSINESS ❑ EXISTIN.G"BUSINESS q HOME B*09INFZSS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME , BUSINESS ORAPPLI CANT NAME:� � kf � � � " C PHONE: BA: ? 0 d Xcle . B SINESS ADDRESS: 00C c'ev ro pve' / Y"') MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CO.PORATE OF CERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: 7 �70�3:�z S.S.#: D.L.#: PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: A -- - - SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: �� ✓)• ( �(:� SQUARE FEET ^ NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: ` zs T DO YOU CURRENTLY HAVE A COVE. NT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES It NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: i ➢ JOIN AN EXISTING"OFFICE: Name of office: ❑ YES ! O ➢ BE A PROFESSIONAL ASSOCIATION: El YES Ll�NO t ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES Gll�—NO ➢ BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES Q/NO -Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. II Occupational Licenses expired on September 301h of each year and all merchants are responsible for renewing heir license each ye wear that all the above information is true and correct. SIGNED TITLE '( ' !'E ( DATE �f _r•. OFFICIAL USE ONLY t ITEMS ""USE: LICENSE ;:CLASSIFICATION: O � C.U. ; NSE APPROVED BY: DATE: Z TRANSFER ri n\ ,�j 'V.ICENSE NO: Z z eo YEAR: PENALTY ISSUE DATE: Z BY: TOTAL •5,7 F`� e CITY OF SOUTH AUAMI OCCUPATIONAL LICENSE APPLICAy'I 3 N JUN 1 � I 6130 Sunset Drive, South i i ��} Miami, FL 33143 Phone:(305)663-6343 FlIN ONCE i_J�,i-; Finance �®e/E�l tttent - -- -- . Check one: ¢lt'"NEW BUSINESS L'YEXISTING BUSINESS ❑ HOME BUSINESS ` ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print � NAME OF BUSINESS OR APPLICANT NAME:�1 f,��J 0 �'f /l✓Y,� � BUSINESS <� , PHONE: � CL) � BUSINESS ADDRESS: 42'a Ail MAILING ADDRESS: /T�a'%:�i�C��'N/•��—fy:- — •� : . /_�i�%C� c/ C NAME OF OWNERS(PROPRIETOR, PARTNERg OR CO PO �� •�i'l n 1� � �FOFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OE SOUTH MIAMI: Tax ID#: E) OC - aFC1 S.S. #: \ _D.L. #: Emergency Contact Person: t � PHONE: PROPERTY OWNER: o �'1 LLGf )C9 Y _ PHONE6a�, — = FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: I PRODUCT(S)TO BE SOLD: ?�r � . / SERVICE (S) TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: p O SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: el DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ® YES LU NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: j ➢ JOIN AN EXISTING OFFICE: Name of office: Y BE A PROFESSIONAL ASSOCIATION: ® YES CIO REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) USES ❑ NO BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) D"YES O NO �• �1�LJ YES � NO Note: Restaurants, bars or night clubs attach health certificate and liquor:license. All applicants must provide proof of sanitation service,,;. 9 All Occulpati al Licenses expired on September 30`h of each year and all merchants are responsible for renewing there 11 en a ach ye swear that �e above informatiomc," C' e- DATE ' 9 c rrect. — TITLE eI afitt":,,:..: �. !�� ' ~ f/" 1. V"Y '^+.• •YYr ..2 b:x1Y � f - T 'ice'$� � -_ LICENSE U� dY: �--� 9� ,: C.U. IIj! ` LICE; ISSUE CITY OF SOUTH MIAMI y < y, OCCUPATIONAL LICENSE APPLICATIO JUL 18 2005 w 6130 Sunset Drive, South Miami,FL 33143 " <�tkca ��G a Phone:(305)663-6343 *Fax 305-663-6346 EE � ZONING Finance Department ^o Check one: El NEW BUSINESS ® EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME BUSINESS OR APPLICANT NAME: )ILV I BS . 11 —k DA Ac Di.1 0 c yi PHONE: _K16)66cl— & DBA: BUSINESS ADDRESS: —7000 z7.•\,� 6ZnJ- Xizo i; 331H_-?S MAILING _ ADDRESS: �E�: C `�'E J & nd Ay, ,iya Nli(arnt r-L 3'3Fd L43 NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: �L �� Cs'C Tax ID#: p. S.S.#: 501 2— Li i — 3'1 (p D.L.#: PROPERTY OWNER: \Acsr'�Mc�' PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: Doc, cds MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: 3,50 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES If NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office: N,r. ��'� OYES ❑ NO . • BE A PROFESSIONAL ASSOCIATION: ❑ YES I511"IN0 • REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ❑ YES EK NO s • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ENO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license each yQe�ar. ,I .w that all the above information is true and correct. ] SIGNED Xi�r "c TITLE N11c.DiCA1 .,3C�". DATE L�1=FiCIAL1:5E ONLY. .., .. I TEMS FEES. USE:PCD-) LICENSE .,•2 S CLASSIFICATION: C.U. USE APPROVED BY: DATE: 7 /8 TRANSFER LICENSE NO: DS D `C'� 3 YEAR: IPENALTY ISSUE DATE: 70 BY: ITOTAL � &fj-,%r_-cc-S EGA vS a'� CITY OF SOUTH MIAMI -,CCUPATIONAL LICENSE APPLICA'T'ION 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 ,,artment NEW BUSINESS ❑ EXISTII4G BUSINESS U HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME .e Print �- .jRPORATION NAME J" BUSINESS OR APPLICANT NAME: A�Q ��L `l C R E� �i �-� PHONE: BUSINESS ADDRESS '00-C) U LTE S 7 5 A 33 i�3 MAILING ADDRESS: NAME OF OWNERS(FROPRiETOR,PARTNERS OR CORPORATE OFFICERS) � �✓=L ! ��Q� , �� DATE BUSINES!-WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: �;l S.S.#: '39`�5�y�� D.L.#: PROPERTY OWNER: _ 6-1-2-l-_ PHONE:3nS -69(-!- 9 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: "4 Z ,q SERVICE(S)TO BE PERFORMED: , A-4 C_�Df r_c QZ SC�2 ✓rC e?S MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AN,�D MANAGERS: F 61 GROSS FLOOR AREA CF BUSINESS FACILITY: a/[ 0 t, • SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS LISE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT,OR LONG TERM LEASE(CONTRAC )J.T4 FF+:-t, aku PARKING FOR THIS USE: ❑ YES .NO (IF YES,SUBMIT COPY OF CONTRACT.) 14AY 23 2005 1 WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ❑ YE _ ➢ BE A PROFESSIONAL ASSOCIATION: YES ❑ NO REQUIRE STATE LICENSING: (IF YES,PROVIDE PROOF) IYES ❑ NO BE LICENSING FEE EnE:i\APT: (IF YES, PROVIDE_PROOF) ❑ YES )( NO Note: Restaurants, bars or night clubs atta--h health certificate anc liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th c ezich year and all merchants are responsible for renewing their license each year. 1 swear that all the above information is true and correct. SIGNED _ TITLE_ i rc� DATE 5,61 cmzx ..:�:�Iv' r ��'.`f ��.r t. :�et.»G.,�"�a'¢.txA3��.• :s+`+''�� ,1_^I�i:.��K�iE:1G;7,'??_.�'1a,,�.�:.�.m�'...,�5:- ,.SE'S - Inh, (� /�lU^J� l� LICENSE \, C.U. 7S,CC; _ let DATE: TRANSFER 2nd Re-In. YEAR: 2/f ' PENALTY Final Inspecb, �( �,} BY: TOTAL %70.. 7 7 P"a"Ztet A h f PS& Received®y: 125.01=38.4/03' tlfgii� INURED TO CITY OF SOUTH MLeM JUL 18 2005 OCCUPATIONAL LICENSE APPLICATION IG 6130 Sunset Drive, South Miami,FL 33143 §PLANN G ZONII. Phone:(305)663-6343 *Fax 305-663-6346 Finance Department 7M— 2V_3 2 0 0 Check one: ❑ NEW BUSINESS VEXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME a BUSINESS OR APPLICANT NAME: �E V1� 1 � - , = - �� ° PHONE: ` ) DBA: 7 C ��y2 BUSINESS ADDRESS: . ' - MAILING p ADDRESS: _7000 �� &2o-3 Ave-n ue Miami' FL 31�79cL3 NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: S.S.#: 5q.2- -H i- 5 J 5(�P D.L.#: 6,i i --1 5C1 -GLi --I 4� G PROPERTY OWNER: 1��_1�� C�( -� � PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: �C3►;.� `� Cpl a!iCi= MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: 350 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: J_ DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: br M,�,rYES ❑ ENO 1YJ BE A PROFESSIONAL ASSOCIATION: YES ❑ NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES G]''NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES 3"NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license each year./I�swear that all the above information is true ands correct. 1 SIGNED ; 0130`x• t.v�c� "d� il0 TITLE j,,4C_liCAl j)C)J V- DATE � �i�l LC J ? e„ o_ OFFICIAIR 97 .NLY�� - NUSE: ` ._^-� ��. `L7 l� P-C . ,. .- LICENSE CLASSIFICATION: ® C.U. i USE APPROVED BY: DATE: l G TRANSFER LICENSE NO: ©(03 Od- YEAR: PENALTY ISSUE DATE: _ BY: TOTAL T 1)� e 017 CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION S'o eri a Wren'-5 BUSINESS NAME: cto u 2 PHONE:( ) BUSINESS ADDRESS: a� i5 m E::L MAILING ADDRESS: f)W bQ-rrl lglk-n02- f u-14-e �c 11n r am►,FL. 3 :5 eLf 3 DATE BUSINESS DID IlL COMMENCE IN SOUTH MIAMI S-51-92 TAX ID #: lin 3-l o7 r ?a t S.s. #: 6 D.L. #: WPO. 05605 0 NAME OF PRO RIETOR, PARTNERS OR CORPORA.TE OFFICERS: EMERGENCY CONTACT PERSON: - () ADDRESS: (22'� ' f L I�aPHONE D 5 PROPERTY OWNER : _ tAOai "O FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: L� �- GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO_�� HAVE DOOR TO DOOR SERVICE YES NO t/ OPERATE FROM A HOME YES NO 1/ REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES ✓ NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL ABOVE INFORMATION IS TRUE AND CORRECT. G SIGNED �. TITLE. 6CD DATE fl`/ 94 OFFICIAL USE ONLY FEES USE: LICENSE O. CLASSIFICATION: C. U. 7� USE APPROVED BY: DATE: TRANSFER ACCOUNT NO.: - YEAR: - PENALTY ISSUE DATE: la- S fr, BY: Q7- TOTAL . -----' CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343 51 .{E I Finance ®e� _ c. L Check one: ❑ NEW BUSINESS ISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME F!� ,l a'!` DEPT. .] i� !'•i t A rte:: � = e.�� .. Please Print 'BUSINESS NAME OF BUSINESS �la��"n yv'i 4 �a, C St— V _ ,HONE: \ C' � �� I OR APPLICANT NAME:.__.._ BUSINESS ADDRESS: MAILING ADDRESS: 67 NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OE SOUTH MIAMI: — Tax ID#: --�23 S.S.#: 7"�_ D.L.#: Emergency Contact Person: � � ' � L),/e PHONE: PROPERTY OWNER: fl � � L) ` PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: _7 MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET fuUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: ; :O YOU CURRENTLY HAVE A COVET ANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED r. : PARKING FOR THIS USE: L3 YES ZI NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: F JOIN AN EXISTING OFFICE: Name of office: C a f ® YES ® NO ➢ ::..BE A PROFESSIONAL ASSOCIATION: ® YES ® NO 1 ➢ =REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ® YES ® NO ➢. 3 BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ® YES ® NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation service,;. Att®ccupationaB Licenses expired on September 30`h of each year and all merchants are responsible for renewing ,:. t6>pre licen a ach; ear. Is hat all t e above information is true and correct. I J SIGNED TITLE SV61 '« 7�%SI DATE .. rse / - i -.'^ .yx'a,•. cxr•.�? ;,.,fi * & ;-W y 'i --r..cY,•... _ USE: i� u' �. . ��.C..., o r ! ENSE e � . C.U. U•SE APPROVED BY: DATE: '_ :_ f�' ' TRANSFER LICENSE NO: -- YEAR: _� 1. PENALTY �i5,,;, — i -< 1r- �AT�• f �nl tom? BY: C11 '---- TOTAL CITY OF SOUTH MIAMI APPLICATION OCCUPATIONAL LICENSE BUSINESS NAME: NE BUSINESS ADDRESS: aj O- MAILING ADDRESS: o �/, ,77 DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIS TAX ID #: �oS�D�3�G�� S.S. #: 's— NAME OF PROPRIETOR, PARTNERS OR CORPORATE / OFFICERS: oC v .0 EMERGENCY CONTACT PERSON: S ADDRESS: PROPERTY O PHONE: WNER : see FOR TRANSFER LIST PREVIOUS VALID LICENS p • PRODUCT(S) TO BE SOLD: ••••••\ ••"' SERVICE(S) TO BE RENDERED: • GROSS FLOOR •0000• AREA OF BUSINESS FACII.ITY: 006% NUMBER OF P ;•••• PARKING SPACES EXCLUSIVELY FOR THI USE: SQ 'FI~Ee •••• NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANA : • /� • ERS: �••••, WILL THIS BUSINESS: • BE A PROFESSIONAL ASSOCIATION .... •••••• ••••• •• • • JOIN AN EXISTING OFFICE (IF yES,PROVIDE PROOF) YES �' NO • HAVE DOOR TO DOOR SERVICE NO_� • OPERATE FROM A HOME YES _ ,: NO REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES NO BE LICENSING FEE EXEMPT(IF YES,PROVIDE PROOF)) S � NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND NO `�'L APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. LIQUOR LICE S I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED DATE OFFICIAL USF, ONLY / USE: FEES CLASSIFICATION. � �- LICENSE USE APPROVED BY: C. U. ACCOUNT NO.: -_ ;, DATE: G �' YE TRANSFER v ISSUE DATE: J, ' �'"' PENALTY !� BY: r CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME , <>^^ "1 ;. :#t ; PFIONE: 2 < r `,;r;- e` ' , BUSINESS ADDRESS. MAILING ADDRESS: DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI TAX ID #: . ''; = ._ S.S. #: D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: t' _€;; C':.'Jf C ' r 4 'y isiv� i:, k.3 s4"�, •— i r a 1 . .} ...s ; E7MERGENCY CONTACT PERSON. ZO PHONE: ADDRESS: S. c PROPERTY OWNER : `-- - PHONE: r=; - `: t { f ,• FOR TRANSFER LIST PIIEVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) T�O'BE RENDERED: GRk? k'LOCRA OF BUSINESS FACEI,ITY - SQUARE FEET , , tr r Y<it N`N'M'ZR OF-PARKING SPACES EXCLUSIVELY FOR THIS USE: .. - f. NUMBER.OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 176. TINS BtJ SS: BEe!:F:_�OFESSIOI4AL ASSOCIATION YES NO r!l JOINIAN EXIVT-?N�G OFFICE (IF YES,PROVIDE PROOF) YES NO HAVE DOOR�,7ubOOR SERVICE YES �tO -a. 'dc :ls •:1 OPERATE FROM A HOME YES NO [ZE" PURU E STATE.ZICENSING(IF YES,PROVIDE PROOF) YES NO BE LICENSaK'.-'fFFEE EX]EIVIPT (IF YES,PROVIDE PROOF) YES NO , RESTAURANT, BAR OR NIGHT CLUB ATTACK HEALTH CERTIFICATE APaJID LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL,THE ABOVE INFORMiATION IS TRUE AND CORRECT. SIGNED :v Y`' .. ` .: TITLE k..,t ,; t �� .. DATE OFFICIAL,IJSE ONLY FEES USE:' ? r r '' " n ,. j LICENSE CLASSIFICATION-.,:,A'..{ -'' _ C. U. ,U�N& A?PROVED BY: d- . .. = DATE:' a ;. ` F` TRANSFER ` ACCOUNT NO.: "' _ ; YEAR: ~ " ` PENALTY ISSUE DATE: 5' " `° BY: TOTAL pp f jA CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: PIIO BUSINESS ADDRESS: �; MAILING ADDRESS: DATE BUSINESS DID/WILL COM lENCE IN SOUTH:(MIAMI TAX II) S.S. #: D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS- '_ , 7 , i � ..,; Ord ..j �' ..;.;; -� nk" 'r=�•�'�',-,� ,�:;•:-. 4 ; `.. EMERGENCY CONTACT PERSON: ADDRESS: rz :{3 t` A<- PHONE: r, (_' 2. + ', 2 { PROPERTY OWNER PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: -� C. SERI, c ;TCE(S) TQXT E RENDERED: Gib-S AOQR AREA OF BUSINESS FACILITY: ti; .'-;? S: SQUARE FEET NulqatR OVi'AkKING SPACES EXCLUSIVELY FOR THIS USE: f" o N"tJNMER OFLEli PLOYE:ES INCLUDING OWNERS AND MANAGERS: 'l i Q ii.� r�Y3.L 'PMS BUS'i&ESS: r... G`�:�^.Cal i:: BE�`FROFESSIb0qAL ,ASSOCIATION YES �.�' NO JOIN, AN EX S`-IIGtG OFFICE (IF YES,PROVIDE PROOF) YES NO ][iAvEOOIa TO`DOOR SERVICE YES_ NO U gars3 OP�wR,�, TE FROM"yA HOrilE YES_ NO Itl,%RkE S :TE LICEra SING(IF YES,PROVIDE PROOF) YES IV® c BE LICENS ' —F£E EXE?MPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICA'T'E AND LIQUOi LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR.THAT ALL TlffE ABOVE INFORMATION IS TRUE AND CORRECT. 5 SIGNED ,r t TITLE; 6 : DATE ! " k [OLFFICIAL iTSE ONLY FEES USE: ; .`` _® LICENSE CLASSI 'ICATION " USE APP ROVED BI';_ ` _ DATE: _ TRANSFER ACCOUNT NO. PENALTY ISSUE DATE. BY. s `� TOTAL ;? . CITY OF SOUTH (MIAMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: PHONE: BUSINESS ADDRESS: ,.. i �; . )' MAILING ADDRESS: ;t DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI , TAX II) #:' f_. S.S. #: D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: - EMERGENCY CONTACT PERSON: ADDRESS: '.. ' .., PHONE: {. ` PROPERTY OWNER : PHONE. i FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: SE , -E(S) TQ�BE RENDERED: T- t GROSS�7LOQR AI�-.EA OF BUSINESS FACILITY: _� i SQUARE FEET <� NL ER OE'r RKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF F-MT LOYEES INCLUDING OWNERS AND MANAGERS: s. 4!C C` , I c' .�' r.� W$cL THIS Btl'& CEVESS: BE ROFES,SIOVAL ASSOCIATION YES v' NO JOIN:AN EXIS-PING OFFICE (IF YES,PROVIDE PROOF) YES NO HAVE.IPOOK TO DOOR SERVICE YES NO C�"qr OPE `TE FROM A HOME YES NO c REEEQ?r...IFRE ST-ATE2.ICENSING(IF YES,PROVIDE PROOF) YES NO BE LICENSIN&FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO r_ RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE DATE OFFICIAL USE ONLY FEES USE: -- LICENSE °;1• . CLASSIFICATION: C. U. USE APPROVED BY: --_— DATE: TRANSFER ACCOUNT NO.: YEAR: PENALTY ISSUE DATE: --- BY: 'TOTAL CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION J ONE(3C)l J , 'r � f H BUSINESS NAME: P /7-L Lwxg S: BUSINESS ADD RES Z MAILING ADDRESS: DATE BUSINESS DIDAVILL COMAffiNCE IN SOUTH MIAMI I ' ) - J00� D.L. 9-: s.s. #: 3—f -s-0 , - —3 TAX ID 12�� NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDKES S: PHONE: 361-L2 ✓ G .6,.e,_PlIONE: c PROPERTY OWNER 1--:1 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. . ----------- PRODUCT(S) TO BE SOLD: 1- SERVICE(S) TO BE RENDERED: �f- 'SQUARF FEET GROSS FLOOR AREA OF BUSINESS FACILITY: NUMBER OF PARKING SPACES EXCLUSIVELY FOR�VHIS R'K-- . 0 NUMBER OF EMPLOYEES INCLUDING OWNERS AND M[ANAGER-.-3: WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO--- 12LN XI5T�%OFFICE (IF YES,PROVIDE PROOF YE NO S HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A HOM[E YES _ x REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES LZ NO� BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES- I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE.AND CORRECT. D Aw ATE SIGNED TIT LE 4 ? -7,Z FEES OFFICIAL USE ONLY 11-9 -/- 9 LICENSE USE: 11 C. U. CLAS ICATION-. fa, DATE: TRANSFER USE APPROVED BY: '- .3 YEAR: 0 PENALTY 0 ACCOUNT NO.: '/ u ISSUE DATE O-Cj BY: xI TOTAL (z I i ,,,vn C � � � 3I � IIA I T BUILDINI I�EPAIRT'MEN OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: y U �G /�� PHONE: 3,P BUSINESS ADDRESS: MAILING ADDRESS: ?O�� SU✓ �Z �y� S�s S'. DATE BUSINESS DIDAVILL COMMENCE IN SOUTH MIAMI_ TAX ID #: _Q1sl 2-S.S. #: D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS: •.�; �m/ l_—', PHONE: PROPERTY OWNER : _ SQG/� PHONE- r V-S- FOR TRANSFER LIST PREVIOUS VALID ICENSE NO. /t/ ,'1 31 ; PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY: . � �6,AI FEAT NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS; r _>/ , ,4 ,, WILL THIS BUSINESS: ' ', 3 ,,,,,, BE A PROFESSIONAL ASSOCI.ATION YES V'� NO ' JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES ,,' No ,NQ HAVE DOOR TO DOOR SERVICE YES 'VO • OPERATE FROM A HOME YES l""NO REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES NO , BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO `� RESTAURANT, BAR OR EIGHT CLUB ATTACH HEALTH CERTIPTCATE ANID LIQUOR LICENSE. ALL APPLICANTS MUST PROVIfDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVF rNFORMATION IS TRUE AND CORRECT. LSINE :�._ '��TITLE DATE O OFFICIAL USE ONLY FEES USE: = �L LICENSE CLASSIFICATION: C. U. USE APPROVED BY: '' E C_ DATE: TRANSFER �, b ` [ACCOUNT NO.: i o 3 8 i YEAR: 6 ;O PENALTY 3 SUE DATE: 7'Z �\ BY: /�71 J �sa�aY i . 1 r, ®F SOUTH MIAMI BUILD NG DEPARTMENT �UPAI'IONAL LICENSE APPLICATION i %� �� '�'�_ ,�✓��. 1�. BUSINESS NAME: �i�6� /�`/�7U,t/EZ /��{�0�, � PHONE: BUSINESS ADDRESS: 7�D AfAILING ADDRESS: 70D0 S� 6 Z /�I/c. DATE BUSINESS DID/WU_L COMMENCE IN SOUTH MIAMI. TAX ID #: 6 03 S.S. #: D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS:361�l S `'y�/pYYJ; �7% . 3b PHONE: PROPERTY OWNER : �}IiJ�OV (ice . PHONE 3Dsp 55 S_- Z2 0 FOR TRANSFER LIST PREVIOUS VALID ICENSE NO. TSB PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE F.ENDERED: Ee? GROSS FLOOR AREA OF BUSINESS FACILITY: O _ S ARE FEET NUMBER OF PA.RKEI;G SPACES EXCLUSIVELY FOR THIS USE: ') NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAG RS/ WILL THIS BUSINESS: �Y, O BE A PROFESSIONAL ASSOCIATION YES 'z JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES ,,.a,NO ' HAVE DOOR TO DOOR SERVICE YES ;_ 1j0 OPERATE FROM A HOME YES _ 'NO REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES ✓s NO BE LICENSING FEE EXEMPT (IF YES, PROVIDE PROOF) YES NO—v--'- FLESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST]PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. A SIGNE -� '� _TITLE C• DATE / OFFICIAL USE ONLY FEES USE: 1e "c-c' �}. 'Z ' LICENSE CLASSIFICATION: C. U. USE APPROVED BY: &L DATE: `7/z Of TRANSFER 3 ACCOUNT NO.: 0 8$� YEAR: O PENALTY ISSUE DATE: 7- 'D j BY: TOTAL / b ITY OF SOUTH MIA.MfI BULL ING DEPARTMENT CUPATIONAL LICENSE APPLICATION USTNESS NAME: 74(d? -7/ Li '57op dz owm , BUSINESS ADDRESS, w o33J AC- MAILING ADDRESS: ATE BUSINESS DIDAML COMMENCE IN SOUTH MIAMI ` °3Sf G 2 AX ID#: D 9.5� 5.S. #: D. . #: $AME OF PROPRIETOR_ PARTNERS OR CORPORATE OFFIC 'RS: �T?7•t,r' �' iMERGENCY CONTACT PERSON: 4K949T� �^- / .r */oAW/• PH NE� 03J3 DDRESS: �_SKJ II PROPERTY OWNER : rRGf�, 'o� __�' _ NE: f f j OR TRANSFER LIST PREVIOUS VALID LICENSE NO. ° RODUCT(S)TO BE SOLD: _ •�--'— ' ERVICE(S)TO BE RENDERED: / •• ° . . ` ROSS FLOOR AREA OF BUSINESS FACILITY: _3,,Q •S• UARE FEET I �EEt OF PARKINCI SPACES EXCLUSIVELY FOR THIS U : • ER OF EMPLOYEES INCLUDING OWNERS AND MAN GERS' Si 1 WILL THIS BUSINESS: ' ° ^' LE A PROFESSIONAL ASSOCIATION YE ° NO N AN EXISTING OFFICE(IF YES.PROVIDE PROOF) YE . , ° °• NO VE DOOR TO DOOR SERVICE YE M_ VO—x_,_'_ fJPERATE FROM A HOME YE NQ--- --- SQUIRE STATE LICENSING(IF YES,P'ROVME PROOF) YE NO E L.ICENSINO FEE EXEMPT (EF YES,PROVIDE PROOF) YE _ Na--- --- ESTAURANT,BAR OR MGKT CLUB ATTACH HEALTIi CERTM TE AND LIQUOR LICEH5B. Y �Ll,APPLICANTS MUST PROVIDE PROOF OF SANITATION SERYI S. a SWEAR THAT ALL THE ABOVE INFOR1tL4TION IS TRUE AND Co RECT. la SIG -•I"" TITLE C • . O • DATE�O / FFICIA USE ONLY LIC NSP FEE L � 0 CLASSIFICATION:172 pw i USE APPROVED.BY: DATE: — � —v 4EN SEER i ACCOUNT NO.: O r- O YEAR; O —D T 71:34 ISSUE DA'Z'E: L —p BY: AL O.Oo II � f TOTAL P.01 /6 LI s -u o onnTn•rTr1M y PAGE 02 a, OCCUPATIONAL ]LICENSE APPLICATION CITY OF SOUTH MIAMI d •emm■msr 6130 ;%;;, Sunset Drive, South Miami,FL 33143 t?=.`"`" Phone: (305)663-6343 , 2001 " ..Finance Department Check onb: NEW BUSINESS D EXISTING BUSINESS 0 HOME BUSINESS ❑CHANGE OF ADDRESS O CHANGE OF NAME Please Print / NAME OF BUSINESS ,✓ OR APPLICANT NAME: / �! ` bl- BUSINESSI,�. PHONE: ✓ S`, S ..:.y /�� NAMF OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) Fictitious Name/DBA: BUSINESS ADDRESS: `7U MAILING ADDRESS: S 6�ce ��' jL' ,_? �4 t � o f f-� F33 5 U Tax ID#:_ / (�" S.S.#:_ S .S!S- �G - % �� D.L.#: DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: PROPERTY OWNER: _ jj %� r��(� �>� —� PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: r PRODUCT(S)TO BE SOLD: '-t z-) Gtr SERVICE (S)TO BE PERFORMED: -sSL .1 MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: �-S Z ? SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF'-SITE REQUIRED PARKING FOR THIS USE: ❑ YES/M NO (IF YES, SUBMIT/COPY OF CONTRACT.) WILL THIS BUSINESS: ` ) • JOIN AN EXISTING OFFICE: Name of office: /-2 ) (. t n(aim /7-6 S ❑ NO BE A PROFESSIONAL ASSOCIATION: • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ,YES NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) 4-r ES NO ❑ YES ;%—NO FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ❑ YES 0 10 Will Liquor be served? ❑ YES NO I swear that it t�e above information is trace and correct. TITLE SIGNED _ DATE r LICENSE CLASSIFICATION: � _ / � C.U. USE APPROVED BY: __ ^�� TRANSFER LICENSE NO: c p �r,3 a YEAR: PENALTY ISSUE DATE: BY: 42 TOTAL % 5 71. i7 So„11, Mln,nl CITY OF SOUTH MIAMI F I n 1 tl n OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami, FL 33143 �" Phone:(305 _663=63.43.... - ,,., r c =oo Finance Department _ Check one: NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print ,f`� i NAME OF BUSINESS �3 �- it!(,%B-a, L �,�1 .Gl� 1y,� � I' B HONE S OR APPLICANT NAME: .J Fictitious Name/DBA: y� NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: % 00 's K e.-- MAILING ADDRESS: Tax ID#: S.S.#: D.L. Sit DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED.- C j c�->C� -ULGCJ MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: r 11 GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE. DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES'4NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office: ❑ y,&s NO • BE A PROFESSIONAL ASSOCIATION: -NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) U—<ES ❑ NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ❑ YES NO Will Liquor be served? ❑ YES 1,LYN0 NUMBER OF OUTDOOR SEATINGS: I swear that al the above information is true and correct. SIGNED �-�: �,'�1 }��, (i. 4,• TITLE �L��V��1( \si DATE ', E 3:. Mu ✓v 71-0, m ,. '�y .,r.•,s'e'er ,`+,.. hL' ,, ," kKw 'i i.....r.,.xk,> - . .. �,.,K:3,`�, 1x"i a,.,1s •'s. ..�t., -, i EN s"Yr"S'rt ?- ..x#.:'.��'�i.,,,�,�,et n t USE: _ LICENSE CLASSIFICATION: �s. C.U. USE APPROVED BY: J - DATE:10 C. TRANSFER LICENSE NO: t i1 Jhd/d/ YEAR: t PENALTY SEATING ISSUE DATE: 1t as ' BY: 4 V11 TOTAL is u� CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: PHONE: 05)i. -7-3'r3 BUSINESS ADDRESS: -770,( 7 `>uD LcZ MAILING ADDRESS: DATE BUSINESS DlD/WILL COMMENCE IN SOUTH MIAMI ICA TAX ID#: S.S. #: -1 y D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: 7� Lc i'-c- , ADDRESS: PHONE: PROPERTY OWNER : PHONE: , FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. = _ PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: uc.c .-! Y1 mac' ' ` 1,✓�5 4- :' k� ^j, GROSS FLOOR AREA OF BUSINESS FACILITY: ', -SQUARE FEET, NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AIv'D.MANAGER�:"'L, 1_, WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES ; i! NO HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A HOME YES NO / REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES NO ' BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT- SIGNED OFFICIAL USE ONLY FEES LICENSE � S ATION: C. U. APPROVED B DATE: � < TRANSFER ACCOUNT NO.: - S' YEAR: Dora) PENALTY ISSUE DATE: o=- 1-00 BY: TOTAL 3 `n n - - ---- � - n Sn=,I.h Mlwv,l CITE' OF SOUTH MIAMI r l I a o o OCCUPATIONAL LICENSE APPLICATION ��a16gC1C.C31V � . �`- 6130 Sunset Drive, South Miami, FL 33143 = S`' Phone: (305)663-6343 roe. Finance ®epa.rtment Check one: ?��7BUSINE SS EXISTING BUSINESS ❑ OME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print BUSINESS NAME OF BUSINESS �� fie, OR APPLICANT NAME: t'�-A �.lti"� PHONE: Fictitious Name/DBA: NAME OF OWNERS(PROPRIETgO,R,PARTNERS OR CORPORATkOFFICERS) KA'T C tom" '6.3 I�E=�varl�:.✓�ro �` �2:' 8'�, iJ. f�tr=6 JCS / �t'�� 3f3i�9 T BUSINESS ADDRESS: 006 Ste' d!�'3 c .D ��c_ .' -.`��C' �(46g.._ F�"' �� MAILING ADDRESS: "(C). CAp-k�l�'AL t*�-'L-• � mss` �e �� 33�� Tax ID#: `— S.S. D.L. DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI PROPERTY OWNER: � ��d- �" PHONE: S R � FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: V PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED.: LP - MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: l GCS SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: Le 5 DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES 10 NO (IF YES, SUBMIT COPY.OF CONTRACT.) WILL THIS BUSINESS: W • JOIN AN EXISTING OFFICE: Name of office: �tt �c,� �65�;-6s9Eaaw'��C�� , � ll YES ❑ NO • BE A PROFESSIONAL ASSOCIATION: 23 YES ❑ NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) @ YES ❑1 NO ❑ YES FOR RESTAURANT, BAR, NIGHT CLUB: Healt7certificate he d? ❑ YES NO Will Liquor be served? ❑ YES X NO NUMBER OF OUTDOOR SEATINGS: I swear that all the above information is true and correct. GNE �� ' � l� TITLE $--P DATE--&—)l c3 .'�1'%01 :.ritll , .3y.:.i^t n. R %:;Y$•r^i :„?x;,�t .+'a" ?:t: "'r,.. _.%a< s , .0 a". ,:r�^ sF•N ', h cam.'. _ �:..sx,. 1I�I C A— LICENSE USE: �°<�► 3= CLASSIFIC, C.U. USE APPROVED BY: DATE: 1 A TRANSFER LICENSE_ NO: 1'? !) YEAR: PENALTY 1� OUTDOOR SEATING _ TOTAL ISSUE DATE: ' S ? BY: ;{ 71 So uth MI.-I CITY OF SOUTH MIAMI F 1 o r 1 d , OCCUPATIONAL LICENSE APPLICATION �`.� r •.:y, NN-t116�fles CdiY . 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343 Check on ) W BUST ESS . EXISTING.BUSINESS ❑ROME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print ) �q j BUSINESS NAME OF BUSINESS OR APPLICANT NAME: "12! 1 4iy !�'HONE: CS "(yt' —I !` Fictitious Name/DBA: NAME OF OWNERS(PROPRIETOR,PARTNERRS OR CORPORATE OFFICERS) r BUSINESS ADDRESS: '7j '�.% .� i ' .t i ct MAILING ADDRESS: d Z. D.L. Tax ID#a`: �(.�'�-�@��Q��-'' d � _: S.S.#: ��.-°i 5-.L1c �fc_ DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: tlJ Fz PRODUCT(S)TO BE SOLD: c)vri-ce— SERVICE(S)TO BE PERFORMED: i S- '' MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS:. � GROSS FLOOR AREA OF BUSINESS FACILITY: S Y SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FORTH IS USE: 5 ee- ' DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: L3 YES NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: n JOIN AN EXISTING OFFICE: Name of office: ,� T{ us•) I •��Y ES E3 NO ' > BE A PROFESSIONAL ASSOCIATION: 1�1, YES Z3 NO > REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) Of YES ❑ NO ;' ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ,14 NO FOR RESTAURANT, BAR, NIGHT CLUB: Healt7certfificate ac hed? ❑ YES ® NO Will Liquor be served? ❑ YES SNO NUMBER OF OUTDOOR SEATINGS: 1 swear that 11 a abpke information is true and correct. TITLE icy' We a DATE rl �'i' ,�" s'.�',� 4w.n 5.#'r��'a'+�'.?�r<:�:x'�„'�'.',•"i�;''?. }; �A n'�I USE: ( .- LICENSE c� CLASSIFICATION: 9 C.U. USE APPROVED BYE _ _ DATE: TRANSFER LICENSE NO: YEAR: ,., PENALTY v 7'_ +� -- OUTDOOR SEATING BY: i_� �� TOTAL 0 0 n 0 O n CITY OF SOUTH MIAMI ^ r BUILDING DEPARTMENT OCCUPATIONAL LICENSE APPLICATION, . ..... 0--.2 2 On"- o BUSINESS NAME: HONE: BUSINESS ADDRESS: .. MAILING ADDRESS: p,4 DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI S.S. 72?e� S 7,'�17 D.L. TAX ID #: 6. NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS: PHONE: PROPERTY OWNER : eei PHONE: FOR TRANSFER LIST PREVIOUS iVALIED LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: 0 Cl GROSS FLOOR AREA OF BUSINESS FACILITY: 0 0,9�0'c5lQUARE FEET'O' 0 0 0�, NUMBER OF PARK[NG SPACES EXCLUSIVELY FOR THIS USE: 000 c NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS_ 0 0 0 C000, 0 C C 1, 0 WILL THIS BUSINESS: 0 c BE A PROFESSIONAL ASSOCIATION YES V"' NU, JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES Nd- HAVE DOOR TO DOOR SERVICE YES NQ OPERATE FROM A HOME YES- NO REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES N Q7 BE LICENSING FEE.EXEMPT (IF YES,PROVIDE PROOF) YES NQ o c,o RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE ANR-TA"QUOR ill—kNSE. ALL APPLICANT'S MUST PROVIDE PROOF OF SANITATION SERVICES. c 0 c C6 G 0') 34 4 1 SWEAR THAT ALL THE,ABOVE INFORMATION IS TRUE AND IOIRRECT. SIGNED TITLE DATE 7 0FFFCtAL/lJS ON-LY 120 FEES -z Z-0. LICENSE USE: <4 � CLASSIFICATION: C. U. USE APPROVED BY: DATE: -TRANSFER ACCOUNT NO.i 10- 0?--0ZYEAR: Qa�;Q PENALTY ISSUE DATE:,_.� Y: LL&f\) TOTAL r� F SOUTH MIAMI BUILDING DEPARTMENT ATTONAL LICENSE APPLICATION _. �„ �2b o ra. 2 Cfic C. '0.- S NAME: ` _ PHONE: _q BUSINESS ADDRESS: ��0� � � �+?�" �1,°� .i.�' `�'�� ;�►'„�� ► MAILING ADDRESS: (DATE BUSINESS DID/WILL COM 4ENCE IN SOUTH MIAMI TAX m #: ( CS C; 5 3 't3 s.s. #: 5- 93 - 01 X22 D.L. #: I-S,5''0- 3-- 4,cl-7/5-& NAIVE OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CON-11 ACT PERSON: `JdS ADDRESS:. S . X1.1 1 .�� P`HONE: 36 S- 6-S�-�(q(p. PROPERTY OWNER : G �� l, mil. . PHONE: . _ t+l - q1 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. Oh c PRODUCT(S) TO BE SOLI): A) e. SERVICE(S) TO BE RENDERED: t l C9 • �� GROSS FLOOR AREA OF BUSINESS FACILITY: _ _ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: � NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO _ JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO . AVE DOOR TO DOOR SERVICE YES NO 3 OPERATE FROM A HOME YES NO U REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES NO BE LICENSING FETE.EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, EAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANT'S MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEkR THAT ALL TEU!;ABOVE INFORMATION IS TRUE AND CORRECT. SIGNFcD T i'LE DATE OFFICIAL USE OIVLI( FEES USE: . . LICENSE 3 3 CLASSIFICATION: _ C. U. USE APPROVED B y DATE: TRANSFER ACCOUNT NO.:0 a YEAR: p PENALTY ISSUE DATE: lY: TOTAL 3 ouoa e CITY OF SOUTH MIAMI BUILDING DEPARTMENT ' OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: �' becmnr--02141) PHONE: G BUSINESS ADDRESS: '.Talc) S' MAILING ADDRESS: -2cq 2 3 S-11W Q CAO 3 OL, DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI 0 TAX,ID 9: S.S. #: 2-&_3 - 3�b T�.L. 9: el-16,S7 i L( '2 3 9'?US NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: I EY--k-1 D -4- LA -ErAC,', EMERGENCY CONTACT PERSON: 024--V'R—ap ADDRESS: -17E" "*e-3PHONE: PROPERTY OArNER : PHONE: c c co FORTRANSFEW,LIST PREVIOUS VALID LICENSE NO. PRQPUCT(�';VO BE SOLD: IV lk SERVICE(,S ,)JO BE RENDERED: CTv"'L GR,0,S$ FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET N(?,v�OER OPcPXRKi!N(--T SPACES EXCLUSIVELY FOR THIS USE: c Nq,24BER OF. E W- LOYEES INCLUDING OWNERS AND MANAGERS: 0 c WILT THIS'BUSINESS: Bk E- PROFES§-1 YES blN[AL ASSOCIATION NO 5M - OFFICE (IF YES,PROVIDE PROOF) YES ✓ NO j6iN,'�ANEII "IlNG HAVE DOOR T6 DOOR SERVICE YES NO V OPERATE FROM A 14OM-E YES NO y REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES 4 NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES'- NO--'67-- RESTAURANT, BAR COR NIGHT CLUB ATTACH HEALTH CEP"IMCATE AND UQUOR LICENSE. 5� ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. .1 SWEAR THAI'ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE DATE OFFICIAL USE 01SLY7r 00 FEES LICENSE CLASSh4tATION- I C. U. )USE APPROVED BY: DATE: -T/ TRANSFER ACCOUNT NO.! YE YEAR: PENALTY T,';SlJRDATF-- BY: TOTAL ,� i I I �, F �� o CITY Off' SOUTH MIAMI OCCUPATIONAL LICENSE')PPLICA►TION I N. ' 6130 Sunset Drive, South Miami, FL 3314 3 L 2 2 � J`) Phone: (305)663-6343 I `a"NCi- D P I. i Finance ®epa rnent "� Check one: ❑ NEW BUSINESS J EXISTING BUSINESS O HOME BUSINESS O CHANGE OF ADDRESS O CHANGE OF NAME Please Print NAME OF BUSINESS DA OR APPLICANT. NAME: .U� —1- ' � �� ' BPHONE:S�C` �� U BUSINESS ADDRESS: ��'a S; c•ii° (®° �'i? A , f� MAILING ADDRESS: �'">°� - — NAME OF OWNERS(PROPRIETOR.PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OE SOUTH MIAMI: _ Tax ID#: US-CM 6 Zq s.s.#: -0(0-7 ! Z%o(�"S3 .--D.L.#: Emergency Contact Person: _�ZyT4 PHONE: 0lo016 PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO:__ LA PRODUCT(S)TO BE SOLD: 69 SERVICE.(S)TO BE PERFORMED: r� MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGE . ' GROSS FLOOR AREA OF BUSINESS FACILITY: -7C%o ILL^JJ� SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS.USE: L3 YES ® NO (IF YES, SUBMIT COPY OF CONTRACTr.) WILL THIS BUSINESS: > JOIN AN EXISTING OFFICE: Islame of office: Ar. C"'-e rVo X YES ® NO BE A PROFESSIONAL ASSOCIATION: LX YES ® NO a REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) a YES L3 NO r BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) L3 YES A NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation service,,. All Occupational Licenses expired on September 30"' off each year and all merchants are responsible for renewing there licensee h ye ear that all the above information is true and correct. ✓J SIGNED `�/l TITLE 'C� � DATE /g ( /o/U _ ti a . USE ' _ � LICENSE I F CLASSIFICATION: 0 USE APPROVED BY: DATE: i'? 1��` TRANSFER LICENSE NO: 0 � L�y YEAR: PENALTY v ISSUE DATE: BY: / TOTAL = 6_ C ®F SOUTH MIAMI BUILDING ��PA� OCCiJPAT ZONAL LICENSE APPLICATION DEPART MEN BUSINESS NAME: _._ '\ r L HONE: BUSINESS ADDRESS: `� o ff, (2_ o ° MAILING ADDRESS: . DATE BUSINESS DIDIWILL COMMENCE IN SOUTH MIAMI TAX ID #:L a L , 00 eo�vcl S.S . NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS: Y`� PHONE: PROPERTY OWNER : --PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: - SERVICE(S) TO BE RENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY: ," SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: � WILL THIS BUSINESS: / BE A PROFESSIONAL ASSOCIATION YES JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO HAVE DOOR TO DOOR SERVICE YES cNO- m W OPERATE FROM A HOME YES N® ` ��,✓' REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES �✓ BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO y RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE A_O D LIQUo EII;FNSE. ALL APPLICANTS MUST PROVIDE PR OF SANITATION SERVICES. 1 l� I SWEAR T �� AR INFORMATION IS TRITE AND CORRECT. SIG TITLE ��`'� DATE i�I� OF,FICk IJSE f�? ®I�L�' FEES LICENSE S C. U. ACC ROVED Y: DATE: �° TRANSFER O.. 8 YEAR: 0 PENALTY ISSUE DATE: BY ' n : f� r / CITY OF SOUTH MIAMI � , APPLICATION FOR OCCUPATION ✓J V /�. 2 AL LICENSE � As required by Ciry Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PR/NT Name of Business busyness - -�a:i --, -i 7i' -z- phone: (-3 Street address of business: 7 0 0 0 Q c—'\ G. .4 v Suite roduct(s)to be sold or South Miami,Florida No - �J4 - ' ervice(s)to be rendered: Name Date business of business: wiIVc id commence: i! J f 9 Co 'N Tax Social Drivers ID# C.�S- (O-L-' -i f / Security# `r 3 `� License# If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: WILL THIS BUSINESS... Be a professional DYES Join an existing office? AYES Have door-to-door I ❑YES Operate from a home? OYES association? ❑NO 0 service? NO Require state licensing? P YES Require license ❑YES Be licensing fee exempt? OYES If yes, ONO transfer? 0 MqO provide documented oroof. Gross floor area of Number of Number of parking spaces employees: business faafity -7& exclusivety for this use: I-rincludina owners and mana ement FOR RESTAURANT, Number of Health aertfi=e OYES Will liquor OYES I If liquor is served, BAR. NIGHT CLUB: seats provided: attached? ONO be served? ONO attach license. Person who writ manage the business: 'fs �K(dt Jl1� U��r1 }�r� ��,��1 ; Phone: Address of above person: Name of STREET arY STATE ZPCppE property owner FOR TRANSFERS,UST Phone: THE PREVIOUS. Business Owners: Address I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that Iicenses obtained on a misrepresentation of material Fact are null and void. SIGNED , TITLE -- k -� s- DATE 7J v O F F I C E USE ONLY — 4ccount 7�' Classification rear �- AR - Amount ;IU Fee �� Transfer Penatty Amount � & _ ,CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby male application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B 8 Z Department. Separate licenses are required for each business location in the City. PLFASEPRINT i�1� ��__ .��,`o��c� Name of �c ZS �- Business business- phone: (o L 65 0,S 15C( Street address of busin '7' `=� ��= �^l va wj)1% South Miami,Florida Product(s)to be sold or o. 10 l L .- - service(s)to be rendered: r Date business of business: will/did commence: I/k Tax Social Drivers ID# (0 S ti)6 t I a Security# License# x If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: r -��-r_ �� - �,� a WILL THIS BUSINESS... Be a professional FEMOVIES Join an existing office? DYES Have door-to-door DYES Operate from a home? DYES association? I DNO I JO-NO service? QK I I ALNO Require state licensing? DES Require license I DYES Be licensing fee exempt? DYES If yes, DNO transfer? C10 NO provide documented proof. Number of 4� Gross floor area of Number of panting spaces employees: business facility: 7�� '�I'q - I exdusiveiv for this use: _ (including owners and management) FOR RESTAURANT, Number of Health certificate DYES Will liquor DYES I If liquor is served, BAR.NIGHT CLUB: seats provided: attached? DNO be served? ONO attach license. Person who will manage the business: { i\ i r.t l �)'1��(l,l l -I1CrV4-)J4 Phone: Address of above person: STREET QTY STATE ZP CODE Name of property owner Phone: FOR TRANSFERS,LIST THE PREVIOUS. .Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledgge and belief. I also understand that licenses obtained on a misrepresentation of material tact are null and void. SIGNED.- ( �% TITLE: `Y �f"tccu�. DATE 7 S OFFICE USE ONLY,- Account# 7 ��- ( Classificatio �� Year ��" Amount p� C/U Fee ee Transfer /� Penalty �� Amount ' Use: A/ ) m .- --- c C ,. 6130 Sunset Dr. South Miami, FL 33143 DATE: 667-5691 FOR YR.: NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are here-by notified that the Municipal Code of the City of South Miami requires the purchase of an occupa- tional license for the classification and in the amount stated herein, for the period ending: .,'7 i ,� i 21,0 r",Fi Account Number . ._ f,. a S W S k"�`��5-fv LICENSE TAX PAYABLE AT OFFICE OF TAX COLLECTOR, CITY OF SOUTH MIAMI, ON OR .c,-• ? BEFORE OCTOBER 1ST. IF NOT PAID BY ,v �.n f_ -,6r{ `� 1;s4�•, - OCTOBER 1,A 10%PENALTY FOR THE MONTH OF OCTOBER AND A 5% PENALTY FOR EACH 4,. Y.,`q,�. "y4 MONTH OF DELINQUENCY THEREAFTER WILL w BE ADDED,AS REQUIRED BY MUNICIPAL CODE OF SOUTH MIAMI. MAKE CHECKS PAYABLE TO CITY OF SOUTH MIAMI - -- - - � — - - - --- - - - - - -DUS1 eSS City of South Miami : Home address Zip :7-9) Telephone num ber 2) r_ 2iSC/P, /4-'�, 6) �1L �ff`z�i�-�.� Fictitious name of person, firm Nature of business of corporation (if one is used) �e �2 -4z c:- Type of merchandise handled, or Location of business separate license required for each location) Service rendered Telephone number 7) Date when business will commence 3) U/ (In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) a 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; if C�L ,�c ��_� not in business one year, value as of commencement of business) : c3� , I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrep sentation of material fact are null and void,) Signed Date As �� C title or explanation of conneeti®' nnwwit business. E 2500-2 REV.8-89-62 1 city of i 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) ,r vm) 5) Name of person or persons who will Real name of pperson manage, control or direct the iii: 131 business to be transacted in the ,F-L City of South Miami : Home address Zip 16 7`7 Telephone nuu✓mberr�7 �[ r Fictitious name of person, firm Nature of business of, corporation (1-f onp,. r s used) ; 7oW -5-444 � 7 ifflilniz Pz_ 331(4.3 Type 6f merchandise handled, or Location of business separate license required for each location) Service rendered Telephone number 7) Date when business iill commence 3; D1C� s>�/w1� Ii�,Gteq Cy (In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located . state the date when business covered by Sout-h Nami L,,dicense will be commenced. ) 4) If a firm, names of members of firm, g) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee 's fiscal year preceding license period; if jIJ Z �g� j��eSJ not in business one year, value as —T' of commencement of business) : I I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed Date g As Title or explanation of connection with business . ez100-2 REV. 8-27-82 City of South Miami � 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the �41P'. �d�� 3Q City of Sou h Miami : Home address Zip ` - 7 75- - 2) ;%Tel ephone number J� J 11-5-" r rl� e-1)I) 55,0(. lC, 6) 1£'I' f°1 a Ficytitious name of pVs n, firm Nature of business of corporation (if We is used) �a Morn i . 3315j? Type of merchandise handled, or Location of busy ess separate license required for each location) 7� Service rendered Telephone number 1 7) ;/4 3) Date when business will commence (In case of a Parent firm located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) 4) If a firm, names of members of firm, ) If merchant., value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee°s fiscal year preceding license period; if not in business one year, value as of commencement of business) : I hereby certi ` that..the gve;,,ranformation is true and correct, to the best of my knowledge and belie Aiderfs obtained on a misrepresentation of material fact are null and void. ) Signed Da te / Irt As 22n�>4,69k�_ --h 'Title or explanation of connect on wit business. ®a900-2 REV.8-27-82 C11-13 ,01 50"W fmlaTTI! LIC. No 5 6130 Sunset Dr. South Miami, FL 33-143 DATE. . ,IF 663-6300 FOR YR.: NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: Account(lumber B . ` r _ LICENSE TAX PAYABLE AT OFFICE OF TAX �S COLLECTOR, CITY OF SOUTH MIAMI, ON OR ;r g-);_j;-) -S y` 61 Ak,l E BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER 1 _ 1,A 10%PENALTY FOR THE MONTH OF OCTOBER AND A 5% PENALTY FOR EACH MONTH OF _•;; �, DELINQUENCY THEREAFTER WILL BE ADDED,AS REQUIRED BY MUNICIPAL CODE OF SOUTH MAKE CHECKS Pi�YA�tE'TO CITY Or SGUTH�vIIAMI I - -_-•-•= -. __ ...._ .__ THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE I CRU Of SOU11h Miami I 002574 6130 Sunset Dr. South Miami, FL 33143 DATE: 1' g r;,1 ;-94 663-6300 ' FOR YR.: r.�__}".ie.._ `-`�• NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending: t- - ,.,......1 _ ... ._ -' Account Number o LICENSE TAX PAYABLE AT OFFICE OF TAX i -'!." ? +,_'<' i ;j;' p: COLLECTOR, CITY OF SOUTH MIAMI, ON OR BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER '- # ! "1-'''. i='i•- 1.A 10%PENALTY FOR THE MONTH OF OCTOBER i AND A 5% PENALTY FOR EACH MONTH OF •= = DELINQUENC`!THEREAFTER WILL BE ADDED, AS I REQUIRED BY MUNICIPAL CODE OF SOUTH i MAKE CHECKS PA1iBEE TC7CITY OR'S©UTf I iGIIAMI MIAr�I°`-'_•: - _ _.. ��----" ---- THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE — �IiTT-be a) If a firm, names of members of firm, g) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period, if not in business one year, value as Of commencement of business) : I hereby certify that the above information is true and correct, to the best Of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) Signed Date �%'f -2 As Title or explanation of con ct1on wft EIZI100-2 REV•8-89—®'d business. .. 01,U of South Miami 19 8A 19 7 6130 Sunset Drive. South Miami. Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 5) Name of person or persons who will Real name of person/ manage, control or direct the �f / business to be transacted in the a 7 0� S �t/ `lam✓`/ �� l �`" City of South Miami : Home address Zip Telephone number �^ Fictitious name of person, firm Nature of business of corporation (if one is used) Type of merchandise handled, or Location of business separate license required for each location) Service rendered Telephone number 7) Date when business will commence 3) (In case of a Parent firm. located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami, License will be commenced. ) 4) If a firm, names of members of firm, g) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee 's fiscal year preceding license period; if not in business one year, value as of commencement of business) : $ ?, 10-co d I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed Date — e-7 As Title or explanation of connection with business BZI00-2 REV, 8-27-82 - City of South Miami 19 8-&m 1 s 6130 Sunset Drive. South Miami. Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 5) Name of person or persons who will Real name of person manage, control or direct the r, business to be transacted in the �� S ? �=¢ � -3 City of South Miami Home address Zip r� 'Telephone number 6) Ficti"ti-ous name of person, firm 'T Nature of business of corporation (if one is used) WOO SCti� �� 1� p�' Type of merchandise handled, or Location of business separate license requ i red for each location) Service rendered Telephone number 7) /ter' . Date when business/will commence 3) _�115?212 • 70C�C.� (In case of a Parent firm located Name of *owner of building in which outside the City of South Miami , business is located. state the date when business covered by South tai?mi -License will be commenced. ) 4 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period.; if not in business one year, value as of commencement of business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misr,epresentation of material fact are null and void. )` Signed , /�- , Date 7 - G? As ��FS�1�C/��T� Title or explanation of connection with business . BZI00-2 REV, 8-27-82 — "�— A_d3 002200" ICI 6130 S;u ei Dr.r. th r jo i yo -- —1 uth uC. II\iC.. 3 663-6300 ni �L 337 DATE; NOT ICE OF A+�I0 NT You are he DUE FpR OCCl9,° FOR,/R.: , -„ _..r__ i Y notified that the ATIO pational license for the classificati�oln and in the a�o< AL LICENSE Municipal Code of the City : r, Y of South "Aami re . `:. "',`i”;i;,_,::_,�,,::,- ,•._". unt stated herein, for wires 'the ; I the period ending Purchase of an occu Account Number j 't td`R ;_'�•'r�-tf LICENSE TAX COLLECTOR, CITY AT OFFICE OF AX I: OF T i t...d. _°,,ti BEFORE o OCTOBER 7 ST,IF NOT PAID ON OR PENALTY FOR THEM AID BY OCTOBER AND A 5% PENALTY F ONTH OF OCTOBER MAKE C i "Y 4 :_ DELINQUENCY THEREAFTER EACH OF NECKS P�y�:'` �. REQUIRED LL BE ADDED, - �tET CITYdWs6 MIAMI BY MUNICIPAL OF MIAiv'r` AS •� THIS LICE �' _ _ I• it V�TH CODE SOUTH —_ _—NSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE J �. Nome ad ress _ Zip Leonard I . Jacobson , PH. D. --- luleptione number �SYCH0ITCAL SPECIALISTSi� 6) FictitloUS nam foe person, firm a _c Ser'vic ' Of corporation (if one is used) Nature of business _70_0 0 S.W. 62nd AVE. ,PH-L S_Mia ,Fl _ Psychological Sef- es yf Location of us�ness separate 33143 TYPe of mere andi hand or '�'°�` ' license required for each location) < ` 667-4724 Service rendered Telephone number ) 7 ' 3) PLAZA 7000 ASSOCIATES Date w en 'business wi 11 commence -Name of owner of building in which outsideethe CityroftSouth l'1�amied business is located, state the date when business covered by South Miami License Will be commenced. ) 4) J f a firm, names o f ;^,ebe,-s of f4 rm, and if a corporation, names of 8) If merchant, value of stock carried officers of corporation: . (defined as cost value of stock on hand at close of licensee's fiscal year preceding license period; if not in business one year, value as Of commencement of business) : I hereby certify that the above information is true and correct, to the best Of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void.) Signed Date i i �t.e 'or explanation o tonne BZIOO-x REV. e-:7_-82 connect On M t business_ CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE "PLICATION BUSINESS NAME: HEALTHSOUTH PHONE:( 305 ) 665-9880 BUSINESS ADDRESS:7000 S.W. 62nd Ave, PH-O, MA.ILINGADDRESS: 7000 S.W. 62nd Ave, PH-O, Miami, FL 33143 DATE BUSINESS DII)/VVILL COMMENCE IN SOUTH MIAMI TAX ID #: -6 3--0 8 6 0-4.0_7 S.S. #: D.L. #: NAME OF PROPRIETOI;, PARTNERS OR CORPORATE OFFICERS: C t= EMERGENCY CONTACT PERSON: nL a 1 T,;:17 rn ADDRESS:_70pp S-W 62nd Avenue PHONE: (305 ) 665-9880 PROPERTY OWNER : Healthcare Realty Trust PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: -fear-per Management SERVICE(S) TO BE F,ENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY: _ 16? SQUARE FEET NUMBER OF PARIS[NG SPACES EXCLUSIVELY FOR THIS USE: 1 NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: a WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO x JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES _ NO X HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A HOT YES NO x REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES NO x BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO x _ RESTAURANT, BAR OIL NIGHT CLUE ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR T HAT AL T1'..fE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED _ J _ TITLE �v t a °_ DATES ` 0-3 K OFFICIAL,'i USE ONLY FEES �mL m®am. USE: + C-z _ _ LICENSE i CLASSIFICATION: C. U. �] USE APPROVED BY--- L i. DATE: � �' TRANSFER ACCOUNT NO % YEAR: PENALTY ISSUE DATE: L i BY: TOTAL, �� CITY OF SOUTH MIAMI BUILDING DEPARTMEN OCCUPATIONAL LICENSE APPLICATION 7C w ,. BUSINESS NAME: c PHONE: : �W BUSINESS ADDRESS. i RIAILING ADDRESS: J DATE BUSINESS DID/WILL COM!I IENCE IN SOUTH MIAMI TAX ID #: S.S. #: =� `.' D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ADDRESS: PHONE: _7 PROPERTY OWNER : Y =}f r PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY:_ NUMBER OF PARKEI C, SPACES EXCLUSIVELY FOR THIS USE SQUARE FEET NUM MANAGERS: BER OF EMPLOYEES INCLUDING OWNERS AND "� WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES 'JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO,; HAVE DOOR TO DOOR SERVICE NO OPERATE FROM A HOME YES NO YES REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES NO NO BE LICENSING FEE EKEMPT (IF YES,PROVIDE PROOF) YES f°" NO--= RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICE �,rN EE ALL APPLICANTS MUST['IPROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL IPHE ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE DATE r ®FFICIAL USE Ol,)L H USE: — MFEES CLASSIFICATION: LICENSE USE APPROVED BY C. U. DATE: TRANSFER ACCOUNT NO.: YEAR: ISSUE DATE: PENALTY `= BY.: ( TOTAL �•�.�.urattvlNAL LICENSE APPLICATION 6130 Sunset Drive, South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 Finance Department Check one: 1P NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF!f+lAME Please Print CORPORATION NAME OR APPLICANT NAME: i c�c' r dam. �. M cc<^ ct v BUSINESS PHONE: � ' o k� ` DBA: BUSINESS ADDRESS: 7� GC C' S v> �, v' �� _ , �. , MAILING ADDRESS: Sez- cn NAME OF OWNERS 7(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: %of /,'{Ey/ 06 Tax ID r 2C, S.S.#: Cld D.L.#: � i PROPERTY OWNER: . PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: i Or SERVICE(S)TO BE PERFORMED: I �c.0 c�;t 7�/✓c �. ��' MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: �� SQUAR NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVEt ANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ENO (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ❑ YES ❑ ,NO D BE A PROFESSIONAL ASSOCIATION: ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) AYES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) 3'17ES ❑ NO ❑ YES p'0 Note:Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license each year. 1 swear that all the above information is true and correct. SIGNED TITLE DATE %d/ �A d s FFiCI L`US" E ONLY e- ITE !S"E USE: FEES CLASSIFICATIO LICEC.U.USE APPROVED BY. DATE: Z �� TRALICENSE NO: / YEAR: PENISSUE DATE: �,; TOT ��os CITY OF SOUTH MIAMI CERT'IFICAT'E OF USE APPLICATION BUSINESS NAMEc M `t' c_l� OWNERS NAME PRONE 4 r;-' ADDRESS ZZ12 L-)<, ..1 - �. Z'7(I'E OF BUSINESS M eA I DATE / OWNER'S SIGNATURE OFFICIAL. USE ONLY .ZONING DISTRICT '�u�>i> ( � � --®- INSPECTION FEE $75 APP DATE REJECT DATE COMMENTS ZONING BUILDING V -SXNIT. �_:N'��f�p�c t� Cj � 21 (cl MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: M . GROSS FLOOR AREA OF BUSINESS FACILITY: O > 5` SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 7 D DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ❑ YES ,Cgs NO ➢ BE A PROFESSIONAL ASSOCIATION: ❑, YES 2' NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) .l�am/YES ❑ NO BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES ;3�: NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license each year. I swear that all the above information;is true and correct. SIGNED f X i1; �il'�� TITLE Jam( - I�r �r�F(`r"�'us` DATE 4171 2_� 5'OFFICIAL USE ONLY = ITEMS FEES USE:. ..� �J\ t� � �,? }L . ti.'�kQA �. '�f- 1 c LICENSE 7 CLASSIFICATION: r.3 i C.U. S v USE APPROVED BY. i ) DATE: TRANSFER LICENSE NO: I'�:IJ`� YEAR: � � �'��` PENALTY G ISSUE DATE: BY: ITOTAL 1-7:-: -•--- / C- CITY OF SOUTH MIAAff OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami,FL 33143 Phone: (305)663-6343 *Fax 305-663-6346 Finance Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE-OF NAME Please Print CORPORATION NAME BUSINESS -.. OR APPLICANT NAME: A►n w:�; Y,,��1��a.eti. � �- (r PHONE: 1JJ BUSINESS ADDRESS: 2"j Avvl in s,., MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#; S.S.#: D.L.#: PROPERTY OWNER PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT (S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: /yI C'¢ C;t__C D > MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: a GROSS FLOOR AREA OF BUSINESS FACILITY: 1 6 L1 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: ZJ DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: r.c.t%ry�.�C�1, YES NO ➢ BE A PROFESSIONAL ASSOCIATION: / ❑ YES NO ➢• REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) Ef YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license,/each year. I swear that all the above information is true'and correct. SIGNED ?C(� �!� �? TITLE ( ryl�� :•.F, DATE Z , 'OFFIClAC13SE O:N.LY - ITEMS FEES` USE: _F-( � 17 I CU 6 CL 19! <_G 'l__ C 1CC= LICENSE` CLASSIFICATION: - �� C.U. USE APPROVED BY: DATE: / -�G' TRANSFER LICENSE NO: j r i "�. `'`. 71 YEAR: s � ) � PENALTY ISSUE DATE: BY: :TOTAL fry i r' wYr.>} $ 3 . :1 _ ,�N f� 2 m CITY OF SOUTH MIAMI SF OCCUPATIONAL LICENSE APPLICATION v 6130 Sunset Drive, South Miami,FL 33143 Phone: (305)663-6343 *Fax 305-663-6346 Finance Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME pp i BUSINESS OR APPLICANT NAME: iA, �� i i ,. PHONE: E); I te. +•- f ti L,p BUSINESS ADDRESS: A. MAILING ADDRESS: NAME OF OWNERS (PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: � ,y' � 6 Tax ID#- ac - 373 76 ?S S.S.#: D.L.#: � Z�.L, � 2C7 PROPERTY OWNER PHONE: FOR TRANSFER LIST PREVIOUS VALID LICE'7NSE NO: PRODUCT(S)TO BE SOLD: uMdGc lam}/ F��{nn SERVICE (S)(S)TO BE PERFORMED: e"d I Cp s.V 1_1'_1 . MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: I❑ GROSS FLOOR AREA OF BUSINESS FACILITY: C3 SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 2-t DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: ai YES ❑ NO ➢ BE A PROFESSIONAL ASSOCIATION: J YES 5k NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license each year. I swear that all the above information is true and correct. TITLE � DATE SIGNED 44=4 5�! t .. ... OFFICIAL USE ONLY_ ........ . ..,_ ..:..:�:: ;,:;;�.;.?`• - :;ITEM6'� �_";=::';`..:-:::_.;�:�::�'•' USE: O D KI-e& '11 �/� ` �i�d` �/.9"" f LICENSE S.L CLASSIFICATION: ( J: C.U. USE APPROVED BY:. r DATE: TRANSFER LICENSE NO: 'R%5 � �'„ � i�%q YEAR: V LA, PENALTY ISSUE DATE: BY: '' TOTAL S 3. ' CITE' OF SOUTH MIAMI k s. Fie e Mi a OCCUPATIONAL L ICENSE APPLICATIOlsi, SaWW.Cay h �r 6130 Sunset Drive, South Miami, FL 33143 { Phone: (305)663-6343 ! u .w.....__.......__..__._...-._w _.._.� goo. Finance Department Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print G�.v` ��rl C NAME OF BUSINESS f i 4 BUSINESS _ OR APPLICANT NAME: ¢ %( PHONE: — ` NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE FFICERS) i Fictitious Name/DBA: ` C BUSINESS ADDRESS: F a � J V I/ i A ' MAILING ADDRESS: Tax ID#: J��G 1 S.S.#: D.L.#: DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI:�_-�� t•T i PROPERTY OWNER: � � -� I !6� PHONE: ��`� FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: I PRODUCT(S)TO BE SOLD: �A,�� } t SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUA EET� t \ 1 NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE � � " �'t► DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED -< PARKING FOR THIS USE: ❑ YES`ANO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: � 4 `I JOIN AN EXISTING OFFICE: Name of office: ❑ YES �Sl_ NO ➢ BE A PROFESSIONAL ASSOCIATION: ❑ YES �� NO D REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) .YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES NO I� FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate-attached? ❑ YES ❑ NO Will Liquor be served? ❑ YES ❑ NO swear that all the above information is trace and correct. ` SIGNED TITLE -;,n 1 €1 µ� r DATEI f •Sa ,.�:.,sy, rs! - � r -':-.,. " -�#5 m S� '� ''� ..z'}� gyp. �'° �i+:. r5f,'�.s q C-�,;=- ai ;Fz.�� •, ',�r``__:+�^`-b -N��° _r� �,A USE: 0-6D My-S mezLicd ,C0- LICENSE 3 t� ✓ CLASSIFICATION: 03 USE APPROVED BY: W(° DATE: { TRANSFER LICENSE NO: r YEAR: oz . 'e'� PENALTY ISSUE DATE: -t— -- BY °�`F TOTAL y I r A ... CITY Off' SOUTH Aa�N H OCCUPATIONAL LICENSE APPLICATION 6130 Sunset Drive, South Miami,FL 33143 -� Phone: (305)663-6343 *Fax 305-663-6346 Finance Department Check one: C3 NEW BUSINESS &-EXISTING BUSINESS C3 HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NA� ED Please Print 'Sc s— BUSINESS - .• A CORPORATION NAME \� ��.�� ly1�, - PHONE: 3c 311-�`10�'� 7\ OR APPLICANT NAME: DBA: V-ry BUSINESS ADDRESS ® f n L "s L, ^J MAILING n v .t �rN1 11. ` ►�Lti�.zs one i re 1=l 3 i 3, ADDRESS: NAME OF OWNERS(PROPR�ETRR,PARTNERS OR CORPORATE OFFICERS) t DATE BUSINESS.WILL COMMENCE IN THE CITY OF SOUTH MIAMI: 200 i T-a Tax ID#: S.S.#: �`� -�.p.- \ D.L.#: X rn�. �S "c7 S 7-� ._� PROPERTY OWNER: PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 72. GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES 3<0 (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of offc S�' ,C� buss El NO ➢ BE A PROFESSIONAL ASSOCIATION: C3'YES ❑ NO REQUIRE STATE LICENSING: (IF YES, PROVI fi�'S'ES ❑, NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES U--90 Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing their license each year. I swear that all the above information is true and correct. SIGNED i i �li/`r�f` '�`-`+'\ '� TITLE DATE O - F.F1ClAt `USfENLY .' ITEMS-'-- "FEES` USE: F ) LICENSE 221 53 CLASSIFICATION: ` C.U. USE APPROVED BY' DATE: / 7 TRANSFER LICENSE NO: _ / YEAR: PENALTY ISSUE DATE: �® BY: 'TOTAL `S3 G�� ( jBERT DerHAGOPIAN M D IQI001/001 PAGE 01 � Awvll.MIrV � 5•r 1 r CITY QF SOUT'H WAW OCCUPATIONAL LICENSE Ft.P3 I ATION 1 6 30 Sunset Dri'rv, South (305 663-6343 '"• Phone; - i Ce Q arti11E9r3 Chet*nne CS EVV gLygINE98 D EXISTING Bt15?NE55 ❑ HOMB BUSII�£SS CHANGE OF A13DRE-S`3 a CHANGE OF NAtfiE BUSINESS.7.75 b� d�,�� Pdease Prfa[ PHONE OF BUSIN SS pu a r P ,f DR APPLICANT ME:._ _ sME OF QW't1pgs(P.RcPfki TOR.P K'NERS OR CORP QPATE OFFICERS) �1 pj4jItjc%LA BUSINESS ADO SS: MAILING ADDDR S:_; � -- 63 1- Tax 10# DATE BUSINES WILL COMMENCE M THE CITY OF SOUTH MIAML ��}�• S'a U r 10 7' HONE: 7f a, - `-srf6 /40 PROPERTY O BCt: FOR TRANSFI-F LIST PREVIOUS VALID LILIENSE NO: r N PRODUCT(S) ESE SOLD: _ 1 SERVICE (S)T BE PERFORMED, A4�✓��t CL- ___4 UtAXIMUM NUM aR OF EMPLOYEES INCLUDING OWNERS AND MANACaERS: L� GROSS F400R' REA OP BUSINESS FAGILI�; �S'd SQUARE FEET NLMBUR OF P ING SPACES EXCLUSIVELY FOR THIS USE: A- I - — PARKING OR IS 43$E:D YES f�NO, �YES, SUBMIT COPY OF CONTRACT-)0NTRAC'C) Fait OfF_$ITE REQUIRED R Qr WILL THIS laU ESS: v JOIN AN EXI iNG OPFICE; Name Of GMM: _ -— ® YES 6NO > BE A PROFS ZONAL ASSOCIATION: LV YES O 4V0 y REQUIRE ST E LICENSING:(IF YES,PRCVIDE PROOF) 0 YES ®' NO Y SE LICENSIN FEE EXEMPT:OF YES,PROVIDE PROOF) cl YES a-'I•T4 F014 RESTAURANT.BAR, NIGHT CLUB: I� Health renii be& shed? 0 YES U NO Will Ligqcr be served? _- d YES ❑NQ l' t i sw7asrth Y a the above inforlm�tlr�is true and c�n'asat. SIGNED TITLE DATE :: 3"0 USE: {:' r �•j� .� /� LICENSE C6LASS FICATIO C.11. USE APPROVED 1'; C� ; DATE; 1 TRANSFER Z 3 �� 1.4- YEAR: +_. LICENSE NO 10 : L-- _.-. � PE L C E By. TQTAL ' ISS E A7 ; - I . 02/020/04 69 2-'30PH CHECK $23.15 SOUTH F i o1r i t d°; OCCUPATIONAL LICENSE APPLICATION au•a�e�ea etty 6130 Sunset Drive, South Miami,FL 33143 Phone: (305)663-6343 2001 Finance Department-- Check one: @ NEW BUSINESS ❑ EXISTING BUSINESS 13 HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print / ` NAME OF BUSINESS 1A OR APPLICANT NAME: �L,'(d, ( <.•.. ..lam j -61 ` r� BPHONE:S 4� � �:-- C,Cf NAME OF O HERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) ��•��:��,/ ��-/�� -�-.71,E Fictitious Name/DBA: / BUSINESS ADDRESS: S� 2= /-_ u5' - ��`' MAILING ADDRESS: C. `1Z 2 r1° e�_ IA-f 9 Tax ID#: S.S.#: � � � D.L.#: DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI:__� -04 PROPERTY OWNER: PHONE: a FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: s I PRODUCT(S)TO BE SOLD: b SERVICE (S)TO BE PERFORMED: PO u i cl, I') - MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET 4 I NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: C:)_ DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES aNO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: Y JOIN AN EXISTING OFFICE: Name of office: (5 12�' ✓ r� ." d,►�a'�' �1�f v 1�YES �❑ NO BE A PROFESSIONAL ASSOCIATION: ❑ YES NO ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) YES ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ,� NO tt�► ME FOR RESTAURANT, BAR, NIGHT CLUB: Health certificate attached? ❑ YES ; O Will Liquor be served? ❑ YES O I swear that All the above information is true and correct. \\ v SIGNED L44L TITLE 4I D DATE "- ' s .. ` " x � . .c da' L' S. "'g, '4P USE L��' 'b� ��` L'L LICENSE CLASSIFICATION: , C.U. USE APPROVED BY: i' DATE: `� y` TR&NSFER #�r�C1. �1„ ) L(t . �4 LICENSE NO: YEARN C) PENALTY ISSUE DATE: .14 ii 0T BY: TOTAL .S� CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION DEPT. 6130 Sunset Drive, South Miami, FL 33143 ��5 �,- Phone: (305)663-6343 Finance Department Check one` J{ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS *CHANG�OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS BUSINESS r OR APPLICANT NAME: �"\ !ice;J a t t �� '`✓i e� PHONE: J k( `� BUSINESS ADDRESS: D `•--, C^ —�`! Qa ��' r-°H r..0( ' P� MAILING ADDRESS: ° NAME OF OWNERS (PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax 1D#: 7e°� ' � .. � S.S. #: Td �, � D.L. Emergency Contact Person: PHONE: 3��— `�S— Z03 °7 PROPERTY OWNER' ;� _PHON FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: r e c%c MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: Ifo �� SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: j DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES q NO (IF YES, SUBMIT COPY OF CONTRAC:.) WILL THIS BUSINESS: JOIN AN EXISTING OFFICE: ;Name of office: >^ -•� a ' YES ® NO v BE A PROFESSIONAL ASSOCIATION: ❑ YES 19 NO " y REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ❑ YES NO r'< ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ,! NO Un cn Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30t'' of each year and all merchants are responsible for renewing there license each year. I swear that all the above information is true and correct. SIGNED TITLE �.k..s:/°f„_-��J DATE c:� 1y mot( _ r iCyw c Ti USE: t ��' ` ' ��?/� LICENSE 499 CLASS FICATION: -� �G?r C.U. USE APPROVED BY: _f _ DATE- TRANSFER LICENSE NO: 'v YEAR: TIC _ PENALTY (•� I[+ni r nATr•. �. 7 L-//' EV. 'L/ yt' TIITAI CITY' OE SOUTH ;I BUILDING DEPARTMENT occluip AL LICENSE APPLICATION ,44 7� NBUSINESS NAME � D BUSINESS ADDRESS: -oo C) a�:'j 0A V�) MAILING ADDRESS: P)- DATE BUSINESS DID/WILL COMMENCE IN SOUTH MIAMI TAX ID S.S. �'25 o no NAME OF PROPRIETOR, PARTNERS OR ORPORATE OFFICERS: 7 Yr-L EMERGENCY CON'S ACT PERSON: PHONE: (40 ADDRESS: I Qjloc-�� `�\-k - 0, 4 9 t, PROPERTY OWNER : PHONE: �o 4 1,G FOR TRANSFER LIST PREVIOUS VALID LICENSE 0. PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED: V'y\ GROSS FLOOR AREA OF BUSINESS LFACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS:- WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES ,NO JOIN AN EXISTING 01-FICE (IF YES,PROVIDE PROOF) YES NO 5-5).Or-el HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A HOME YES--:,,� No REQUIRE STATE LICENSING (IF YES,PROVIDE PROOF) YES NO BE LICENSING FEE E.-KEMPT IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT AL " HE OVE INFORMATION IS TRUE AND CORRECT. SIGNED FEES OFFICIA ONLY THAT 't�s-s -S USE: *j. 2 3 C. U. CLASS ICATI USE APPROVED BY:_ DATE: TRANSFER Ty ACCOUNT NO.: YEAR- PENALTY ISSUE DATE: TOTAL CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be complete 7 returned with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of HEALTHSOUTH HOME HEALTH , PRN, INC . Business business: phone: (3 0 5 ) 6 6 9—4 4 3 4 Street address of business: 7000 S . W. 62nd Ave . Suite PH—A Suite Product(s)to be sold or South Miami,Florida No. P H-A service(s)to be rendered: Healthcare Name of owner Health Date business of business: South Corporation Tax will/did commence: 631059136 SBCiaj # Drivers ID# License# If proprietorship,name of proprietor :00:0: if partnership,names of partners • . . . .. . RICHARD SCHRUSITY `'� • • • .00000 if corporation,names of officers: G-�� .. •••0 �•�• . . WILL THIS BUSINESS... �-- Be a professional OYES n an existing office? AYES Have door-to-door OYES : Op*ate fr=a home? DYES association? ON ONO service? f3NO 000000 Require state licensing? X®YES Require license OYES Be licensing fee exempt? OYES Ifyes, •• •• ••••• �. ONO transfer? CVO MW rdvide'documentedbroof. Number of Gross floor area of Number of partcing spaces em 'o"'.0 1 •••• • business fadl' 5200 s q. ft 10 0 Y� exdusivel for this use: indD i timers and rti aaement• [FOR RESTAURANT, Number of Health certificate DYES I Will liquor OYES If liquor is serveo,%o BAR.NIGHT CLUB: seats orovided: attached? ONO be served? ONO attach license. . Person who will manage the business: R o n v e K r e i n e r R N Phone: (3 0 5) 669-4434 Address of above person: 7 n n n g rA, F 7 A v er G , i t c P H A M i m i 71 n r i rl n 1 l d'2 STREET UTY STATE ZP CODE Name of_ property owner HEALTHSOUTH Corporation FOR TRANSFERS,LIST Phone: l Ron— ti -4772 THE PREVIOUS: Business name: Owners: Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: TITLE.•��1 1/:G� �- - ��`� DATE:, OFFICE U5E ONLY• -••--- - Account* ®,q4 Classification LAmount: 40 ee /` Transfer Penalty Amount !Use: � �G�'cc� , l "'J CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE w///7, /.7- As required by City Ordinance. I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use Inspection/Form witle B &Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT��7 Name of .' : 0 Business business:--"S/HOME HEALTH SERVICES phone: (305 ) 669-4434 Street address 1,Q� of business: 0 0 0 SW 6 2 AVE. PH—A l O South Miami,Florida Suite Product(s) to be sold or No. service(s)to be rendered:—HEALTHCARE Name of owner Date business of business: HEALTHSOUTH CORPORATION YAVdid commence: Tax Social Drivers ID# 6310-59136 Security# License It If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: RICHARD SCRUSITY WILL THIS BUSINESS... Be a professional ' OYES Join an existing office? ❑YES Have door-to-door OYES Operate from a home? OYES association? ❑NO ZO service? 0 0 Require state licensing? DYES Require license EWES Be licensing fee exempt? ❑YES If yes, ❑NO transfer? 00 ANO Provide documented proof. Number of 27, Gross floor area of Number of parking spaces employees: qq�� business facility: 5200 exclusive) for this use: 10 (including owners and management) FOR RESTAURANT, Number of Health certificate OYES Will liquor ❑YES I If liquor is served, BAR,NIGHT CLUB: seats provided:_ attached? ONO be served? ❑NO attach license. Person who will / l manage the business: �'°�`i �Cdz i n e y" Phone:t �' Address of above person: S 2-,S i 5 • _Z)l X C/? t,Jaz_�� F _ L_s STREET C(rY STATE DP CODE Name of a f- l' -� S Ct�.. C e 5 property ownerT �� ' r:r� ` Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: Owners: Address: _ I hereby certify that the above information is true and correct, to the best of my knowledge and beli f. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: G';L�/G. t?_.L-�( 'c�' TITLE: '�`L GiILC��C 'l��C ytJ DATE: , . OFFICE. USE: ONLY Account# ��/ Classificat o 4!9z Year: Amount: C/U Fee Transfer Penalty Amount ��d Use: {= D UuG � 3-L1 STREE OF T ADDRES U N SSa CLASSIFICATION # 7noo , iy� 1 YEAR: 199 Flo'rida /93# AMOUNT ?n South a� M_. C/U FEE: s�� ap TRANSFER:°� a I Separate licenses are required for each business location in the City, PE?A7,TY $ AMOUNT $ / (BUSINESS - 1 7 17C 1 USE: PRODUCT(S) TO BE SOLD OR NAME OF PERSON WHO WILL MANAGE, SERVICES) TO BE RENDERED: CONTROL OR DIRECT THE BUSINESS: �S Legal '%"Vices I�ofal� RaSsn�� 1 t NAME OF OWNER OF BUSINESS: STREET ADDRESS OF MO nAe 1 11 CI Y, STATE, ZIP CODEI• \\�\ , 1 o -Alva DATE BUSINESS WILL/DID COMMENCE: ) I 1SUOds83aj1 i gu�r�aua�io}e14. � IQI�iC TELEPHONE OF ABOVE PERSON: oadap!"° sa°1Nes uop,juss 10 (ol-D 15 ,\i O PROPRIETORSHIP, NAME OF PROPRIETOR - ON O IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PROP RTY OWN/ER: ' i ON 0 IF CORPORATION, NAMES OF OFFICERS: TY l R: _ ON 0 PHONE OF PROPERTY OWNER:WE5-C11SJ ,1 03b1(1D-A?3-A :00-:00 FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: �_ \ WILL THIS BUSINESS... YES NO NUMBER OF SEATS PROVIDED: I , �� " i-A= BE A PROFESSIONAL ASSOC.? �/ HEALTH CERTIFICATE ATTACHED? JOIN AN EXISTING OFFICE? / WILL LIQUOR BE SERVED?' � HAVE DOOR-TO-DOOR SERVICE? *If liquor is served, attach license ` -- OPERATE FROM A HOME? ✓ FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE STATE LICENSING?' VALUE OF STOCK CARRIED IN DOLLARS: �- REQUIRE LICENSE TRANSFER?' twranw.. e•t v 1w ee•tee►ee n•ne•t•1e•.er u••n.••,. ' , 0 Q-F L� '" BE LICENSING FEE EXEMPT?' r1.e.1 Y••reprw•Cin9 1ue•n.. e-1no• ... net In * If yes. provide docurue;ited proof Y .......er b-1.... FOR TRANSFERS, LIST THE PREVIOUS: GROSS FLOOR AREA OF BUSINESS NAME: BUSINESS FACILITY: NUMBER OF PARKING SPACES OWNERS: "Ina EXCLUSIVELY FOR THIS USE: 1� ao H1 i tl3801;. [NU�BER OF EMPLOYEES: R ADDRESS: l %Vl"o �' ePuold ke Z HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST l / ! MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A W IREPRESEN•PATION OF MATERIAL FACT ARE NULL AND VOID. i 171(.l,l'ICl�i0, DATE: N l duo, TITLE: � -noon anal i, FA USE Alan C.CSC I L STREET ADDRESS OF BUSINESS: ION #�o00 Sw C_'a lie f�11 V �J South Miami, Flor a33)4 913' AMOUNT Separate licenses are required for TRANSFER:each business location in the City AMOUNT $ BUSINESS PHONEa— ¢ ° Nj USE: J&ra PRODUCT(S) TO BE SOLD OR PERSON WHO WILL MANAGE, , Es SERVICE NAME OF P S) TO BE RENDERED: \1 a2 ;CONTROL OR DIRECT THE BUSINESS: Q� `eV VICE5 NAME OF OWNER OF BUSINESS: �S,a 3 STREET ADDRESS OF ABOVE/'PERSON: /��(In C.60d 0000 w (a .�✓P Ott �� „ ..Q 31da QCITY, ,STATE, ZIP CODE: sucdselgig DATE BUSINESS WILL/DID COMMENCE: J' u/C? �j�jl��J `+ \ But- eue�ao}8141 +np1t \ \ 58°nles uo98�'ues)°1°md 8P ICU I��O T/E�LEPHONE OF ABOVE PERSON: O 6,167' n4�7 1 O PROPRIETORSHIP, NAME OF PROPRIETOR i ON IF PARTNERSHIP, NAMES OF PARTNERS 1 ON IF CORPORATION, NAMES OF OFFICERS: AME OF PRO RTY OWNER! ' 1+ b PHONE OF PROPERTY OWNER: n03 3'0S..4O'8 FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY 133: WILL THIS BUSINESS... YES NO NUMBER OF SEATS PROVIDED: \ BE A PROFESSIONAL ASSOC.? V/ HEALTH CERTIFICATE ATTACHED? JOIN AN EXISTING OFFICE? ,/ WILL LIQUOR BE SERVED?' HAVE DOOR-TO—DOOR SERVICE? V * If liquor is served, attach license t i1 OPERATE FROM A HOME? V — FOR MERCHANTS/WHOLESALERS ONLY: REQUIRE STATE LICENSING?' J VALUE OF STOCK CARRIED IN DOLLARS: ` 1s. ti—'GS�� REQUIRE LICENSE TRANSFER?' I + �' �'F� BE LICENSING FEE EXEMPT?' ✓ torsi"•°°°°•t vlw°r.e°°x an e.n°.e°1°.•°r a«".«,� �� :18041 year pr« "q 1104-1 Perioa, h..... C081ne.. 0. year. - i. * If yes; provide documented proof •• °:°°°••^°°••^t•r GOain..a> — GROSS FLOOR AREA OF FOR TRANSFERS, LIST THE PREVIOUS: �\ I BUSINESS FACILITY: BUSINESS NAME: 1 i Hinor� \+ , sv os ' NUMBER OF PARKING SPACES OWNERS: eo H1. EXCLUS:iVEL& FOR THIS USE. �� H30o1G tl0 NO z �+ �1"o ePUOl3'• �° 8� NUMBER OF EMPLOYEES: 1� ADDRESS: /t VVS I HERESY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT; TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A` MISREPRESENTATION OF MATERIAL FACT ARE NULL AND VOID. n000 atala a:� n SIGNED: L!YU� '�flnQ,� TITLE: r DATE uQP .+ Fea 'T ADDRgESS OF BUSIN,�E S CLASSIFICATION �/0 S1�(lod Ade- S,e T-0 8 YEARN 1992/93 AMOUNT $ ,Miami, Florida �-ate licenses are required for FEE: $75.00+ -TRANSFER:.business location .,.n the cl°_y. PE*.kn'r-Y°�NESS PHONE. 30� (G) USE: ,, w i PRODUCT(S) TO BE SOLD OR NAME OF PERSON WHO WILL MANAGE, SERVICES) TO BE RENDERED: CONTROL OR DIRECT THE BUSINESS: LqaI Sery ces J2�borah (Zarin,✓ �S'ILZ 533 O 31` NAME OF OWNER OF BUSINESS: STREET ADDRESS OF AB VE PERSON: n n �1aoo A,%. 1 N- 1"(tSSY)Cr (1gbm y`I40,r y{-C�w M . Bulmeuej jo;elglsuod CITY,. STATE, ZIP CODE: saolniesuope:lues;oJomc DATE BUSINESS WILL/DID COMMENCE: ON- Aug. lqao TELEPHONE OF ABOVE PERSON: ON [ffROPRIETORSHIP, NAME OF PROPRIETOR PRTNERSHIP, NAMES OF PARTNERS NAME OF PROPERTY nwNF_v.,;COR OR.ArTnM� .::-.:'-•S OF OFFICERS: Mon+e assn Wayne RC55ner FEeal�lr�o�+}h d � �Zt on or y 4<rInXr Alan /ioi i aaaino3a ails�� PHONE OF PROPERTY OWNER: Cq) I FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS... YES NO NUMBER OF SEATS PROVIDED: BE A PROFESSIONAL ASSOC.? HEALTH CERTIFICATE ATTACHED? JOIN AN EXISTING OFFICE? / WILL LIQUOR BE SERVED?* HAVE DOOR-TO-DOOR SERVICE? / *If liquor is served, attach license OPERATE FROM A HOME? FOR MERCHANTS/WHOLESALERS ONLY: �� F C•f!,-_S REQUIRE STATE LICENSING?,• / VALUE OF STOCK CARRIED' IN DOLLARS: REQUIRE LICENSE LICENSE TRANSFER?• BE LICENSING FEE EXEMPT?'? wranw.••o.e v.aw•r.c..r.n e..a.e a o.•or aa..n...•. ea.•.a .r v:.°waa at°.n°• sara°cr n„. ar roc an � �� .�� ,1� ."�'/'_� nwa....a". ..... v.aw.•or ° .ne or swan•.., *"If yes, provide documented proof FOR TRANSFERS, LIST THE PREVIOUS: GROSS FLOOR AREA OF BUSINESS NAME: BUSINESS FACILITY: `O NUMBER OF PARKING SPACES OWNERS: 8�–t9S EXCLUSIVELY FOR THIS USE:'1�5 VN d03JNtlH0❑ NUMBER OF EMPLOYEES: I ADDRESS: I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A ; MISREPRESENTATION OF MATERIAL FACT ARE NULL AND VOID. n � SIGNED: DXlc.._ ',(��yati�n TITLE: DATE:' '1 C7� � P�`I iYlhCl�� C 93 -I I CLASSIFICATION d STREET ADDRESS OF BU, I ESS: 9000 S�J (/i'aQ YEAR: 1992/961 AMOUNT $� ' t I '� South Miami, Florida C/U FEE: $�75%t00 TRANSFER:' Separate licenses are required for each business location in the City. P LTy-% - AMOUNT-$—�s BUSYNESS PHONE:6e5)(/o) O4-7S USE: PRODUCT(S) TO BE SOLD OR NAME OF PERSON WHO WILL MANAGE, SERVICE(S) TO BE RENDERED: CONTROL OR DIRECT THE BUSINESS: I.,,c�n I Serv�'c�s 7ebo�c�h (:assne� O 31" STREET ADDRESS OF ABOVE PERSON: NAME OF OWNER OF BUSINESS: ��0� r� to�, N2. 41e. . JeCiNly S.Kl'��'1/7C'� 6ulnnauaj jo;e1gisuod CITY, STATE, ZIP CODE: •saoinGSU011"Uss;o}omc DATE BUSINESS WILL/DID COMMENCE: 3'�1� ON— (� q ON • ON TELEPHONE 9TELEPHONE OF ABOVE PERSON: ON .Or i [PROPRIETORSHIP, NAME OF PROPRIETOR PARTNERSHIP, NAMES OF PARTNERS NAME OF PRO/PI�,ErRr�__T--Y OLLW'N'ER://��CORPORATION, NAMES OF OFFICERS: q�}��SoUdh K(l�l��t�ill]�ltill lt7f� a3ainD3a31Is-j-I i PHONE OF PROPERTY OWNER: $s Q 1. FOR ALL BUSINESSES: ^ 'NIGHT CLUB ONLY: WILL THIS BUSINESS... YI —ob& c1Y� VIDED: BE A PROFESSIONAL ASSOC.? ATTACHED? —A JOIN AN EXISTING OFFICE? � ED?' V HAVE DOOR-TO-DOOR SERVICE? I , attach license OPERATE .FROM A HOME? � F � _5 ONLY: REQUIRE STATE LICENSING?' ! tIED' IN DOLLARS: REQUIRE LICENSE TRANSFER?' I - 4 BE LICENSING FEE EXEMPT?* i b.nq•e ale••et lleuu•••. lWJ '�I �/ �(/ �i/."�C'..�r.rloai nev.vr, It nee in * Tf yes, provide documented ash% Ply'R f THE PREVIOUS: GROSS FLOOR AREA OF BUSINESS NAME: BUSINESS FACILITY: c NUMBER OF PARKING SPACES OWNERS: (. we9 � EXCLUSIVELY FOR THIS USE: 1`j oadH NUMBER OF EMPLOYEES: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, TO THE BEST. }r; OF MY KNOWLEDGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINED ON A MISREPRESENTATION OF MATERIAL FACT ARE NULL A14D VOID. DATE. SIGNED: TITLE: ' ' ' AN- Miami,FL 33143 DATE: FORYR.: _1995-1996 NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE a You are hereby notified that the mu icipal Code of the City Of South Miami requires the purchase of an occu- !d and pational license for the classification"and in the amount stated herein,for the period ending-, nplete C3 CHANGE OF NA�# 5-0 RICHARD A WARREN, AT 0 5�-3111-ij D'Dn� AGWARNEY AT LICENSE TAX PAYABLE AT OFFICE OF TAX 7000 COLLECTOR,CITY OF SOUTH NIAMII. 11 on odda BEFORE OCTOBER I ST,IF NOT PAID BY OCTOBER SO- MIAMI� FLA 33143 FOR THE MONTH OF OCT08ER TH,DEAFT�, LL D BE ADDED,AS HEOUIRE 3o I 3_�� THIS LICENSE MUST BE-111LIED IN A CONSPICUOUS'LACE If proprietorship,narrl of proprietor', Require state licensjng7�- ES Require license I MES Be licensing fee exernPt7 OYES Ifyes, Numberof Gross floor area of Number of parldng spaces employees: ET FOR RESTAURANT, I Number of Health certificate LJYES I Will liquor CIYES If fiquor is s NIGHT CLU f 8: seats orovided: attached? ONO be served? ONO attach[[can- IFF-SITE REQUIRED Person who will Phone: manage the business: —P( Address of above person, cay ZFCODE NO Nameof NO Phone: property owner Vk"w'\ NO FOR TRANSFERS,LIST kTE A correct,to the best of my knowledge and belief I hereby certify that the above information is true and 1--also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: DATE-- sification Year Amount Ppnnitv mount CAJ Fee Transfer. I—A V4 ' LIC NO_ 6130 Sunset Dr. South Miami,FL 33143 0 0 5 3 r"6 ogre: 0-01-95 W 663-6300 FOR YR.' 1995-1996 NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occu- r. patiorial license for the classification and in the amount stated herein,for the period ending:,,, ted an( ;n 300 L1ib7 OFFICE 6E:PTEriBER 30 0 .195,6. mpleu LICENSE FEE Account Number l $ 130.00 ty• { 95-ki31'ri ❑ CHANGE nnOF'NpAN11ti ERIC H MILLER/ P# �}i7-.`,'�—jj�.44 LICENSE TA% PAYABLE AT OFFICE OF TAX '0 1 p,S—�6L— S II ii COLLECTOR.CITY OF SOUTH MIAMI, ON OR"', 7UGU Si, 72 HTJ�'.J j.R 2adI-BL BEFORE OCTOBER I ST IF NOT PAID BY OCTOBER SU- MIAMI, FLA 33143 I,A10%PENALTY FOR TIIE MONTH OFOCTOBER orida � �3�1 4<iDc�i AN0 A 5N PENALTY FOR EACH MONTH OF OEUNQUENCY THEFlEFlFTER WILL BE AD`ED.AS REQUIRED BY MUNICIPAL ODE OF SOUTH MAKE CHECKS PAVABLCTO CITY OR SOUTH MIAMI MIAMI- _ THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE °r �`,�✓.. ��l _ _—_-- ---_— S #— 3 i ec*tt roprietorship,name of proprietor TUcense# /L9 /mac �-Qr j if Partnership,names of partners ifcorporation,names ofofficers: I I. WILL THIS BUSINESS... Be o professional .OYES Join an ehdsting office? mYN Have door-ta-door OYES Operate from a home? AYES association? QlN6 service? 0NO� ONO` Require state licensing? 0YES Require license OYES Be licensing fee exempt? OYES If yes, ONO Transfer? QNC� ONO Pmvide documented proof. Gross floor area of Number of packing spaces Number of business fadfi . Numb r for this use: employees' FOR RESTAURANT, Number of Include owners an,man ement BAR,NIGHT CLUB: seats rovided: Health OYES Will liquor OYES If liquor is served, ET attached? ONO be served? ONO attach Ifcense. Person who will S 79--7 manage the business: FF-SITE REQUIRED Phone' .S—T �/ C . 6c /c 1 S L Address of above person: �-E�=.,--5--��-•,_.-14 ;,�- r �7'Y s-•§ °,. Name of sr�r a"' sure a Propecy owner _ NO FOR TRANSFERS,UST / L r /4 _Phone: r- NO THE PREVIOUS: NO Business name: ISO Owners: proof of sanitation services. Address: ponsible for renewing j'• 1 II I hereby certify that the above information is true and correct,to the best of my knowledge and belief. ATE o I also understand that licenses obtained on a misrepresentation'of material fact are null and void S3 ' l SIGNED: TITLE: J DATE _ Il i o Q;:F F I' Wir. Q M%L:1'� w ?M s-.i F;• :a:-w r _ r> Account# CJ71 i Classification acv 3 •s3 CN Fee J /� — Amount / l Transfer v cc L-Avv e. ! Penalty Amount j Cam"{ -.-------^- �'� --- ---- - - I:/-�t••r_I F1M1aK i S & PETIT, P.�- f(i�- P H 82 r�—v d LICENSE TA%PAYADLE AT OFFICE OF TAX SOUTH MIAMI.ON OR 71,1 CJ I_I 81.4 t+i:! 1?V E ./ BOFORE OCTOBER ISTF IF NOT PAN DY OCTOBEP 5O. I�IIrII`YI �'L 1.A 10%PENALTY FOR THE MONTH OF OCTOBER AND A ItN PENALTY FOR EACH MONTH OF ,'%j,?:,43 OEOUIRED CY THEREAFTER MUNICI AL MILL DE 1 SO AS �I,,``II,,��J L�l� qq REQUIRED DV MUNICIPAL COPE OF SOUTN MAKE CHECKS P'&kl LCif(,CITY C)F S&4HIMIAM1 MI 'f!'yL .e_ = �,.€�BCa [- (' THIS LICENSE MUST DE DISPLAYED IN A CONSPICUOUS PLACE I Cs G =---=Zoning app—====—_— �.�.m�_.�--`--------------__ by g Bldg insp. b y ` sanitation by o L, services Issued on 1. Building must be open for inspection. .� 0 31% 2. Inspection fee is not refundable. .3, Do not operate business until an occupational license has been 6ulAnauaj jo;e1q1suod issued by the City of South Miami. `I. seo!AieS UOgepes;O)Oad CITY, STATE, ZIP CODE:AW' M4C5' IW� ��' ON DATE BUSINESS WILL/DID COMMENCE: 'd '�i- �^ </•2 �)Zl� ON i"' t� ON 4��,41P , /�� 16, /99�_/ HOM T LEPHONE OF ABOVE PERSON: 435- og PROPRIETORSHIP,' NAME OF PROPRIETOR "' a3alno3a 31ts dd IF PARTNERSHIP, NAMES OF PARTNERS NAME OF PROPERTY OWNER: 3'P IF CORPORATION, (/ ON, NAME OF OFFICERS: �X/9 %L ,v �J/`/ PHONE OF PROPERTY OWNERg� Q� FOR ALL BUSINESSES: FOR RESTAURANT/BAR/NIGHT CLUB ONLY: WILL THIS BUSINESS... YES NO NUMBER OF SEATS PROVIDED: k l) BE A PROFESSIONAL ASSOC.? HEALTH CERTIFICATE ATTACHED? q/ JOIN AN EXISTING OFFICE? WILL LIQUOR BE SERVED?* a ( !;-L-£a- S HAVE DOOR-TO-DOOR SERVICE? *If liquor is served, attach license OPERATE FROM A HOME? E FOR MERCHANTS/WHOLESALERS.ONLY: I �- REQUIRE STATE LICENSING?* VALUE OF STOCK CARRIED IN DOLLARS: I � it/ fl I 1 I )j REQUIRE LICENSE TRANSFER?* / (-'I rJ- ..a-".—-—.'"-*of l--""—,Y„ N BE LICENSING FEE EXEMPT?* av„�.•P•*i�I sa...=. L:A. L.eu.i..m. ,,,.,., * If yes, provide documented proof FOR TRANSFERS, LIST THE PREVIOUS: ! GROSS FLOOR AREA OF BUSINESS NAME: ��' BUSINESS FACILITY: 6g8 I I 8f-z9S-S° �'lYN JO 3ONVHO ❑ NUMBER OF PARKING SPACES /A OWNERS: LEXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES: 2 ADDRESS: " I HEREBY CERTI T THE ABOVE INFORMATION IS TRUE AND CORRECT, TO BEST N OF MY �QQ��IIOWL UGE AND BELIEF. I ALSO UNDERSTAND THAT LICENSES OBTAINEED D ON p` MISREPRES ATION OF MATERIAL FACT ARE NULL AND VOID. j.�cc�a/GFIC62 DATE: SIGNED — TITLE: --" G /0 =— 71 CITY OF SOUTH MIAMI BUILDING DEPARTMENT OCCUPATIONAL L,ICENSE APPLICATION dka% r.,-" ,/ 2. BUSINESS NAME: 5 A . goare l U-0 PHONE:-3o,5--u(Q;p'l (,a3- BUSINESS ADDRESS: q000 Au Uc a A\lP p k MAILING ADDRESS: r)0D 0 lJ) 0-D N 0 p DATE BUSINESS DIDNIILL COMMENCE IN SOUTH MIAMI TAX ID#: 59--r3 q I 1 s�li� S.S. #: D.L. #: NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: 00-S 0 07 M_ IID- EMERGENCY CONTACT PERSON: Pz) ADDRESS: PROPERTY OWNER :_ YHONE FOR TRANSFER LIST PREVIOUS VALID LICENSE NO. PRODUCT(S) TO BE SOLD: 0 SERVICE(S) TO BE RENDERED: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ?� ' o WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NNp µ _ JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES _eN0 x HAVE DOOR TO DOOR SERVICE YES NO y �! OPERATE FROM A HOME YES _ °NO, - REQUIRE STATE LICENSING(IF YES, PROVIDE PROOF) YES_ BE LICENSING FEE EXEMPT (IF YES, PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT E ABOVE INFO TION IS TRUE AND CORRECT. "y SIGNED TITLE ,&a/,-i>f-, DATE OFFICIAL USE ONLY FEES USE: LICENSE CLASSIFICATION: , F, C. U. USE APPROVED BY: DATE: r:2i .`, ' TRANSFER®o ACCOUNT NO.: (69) YEAR: ® IPENALTY _ ISSUE DATE: o ? 0 BY: IOTA Oe CITE' OF SOUTH MIAMI C _ z IRS APPLICATION FOR OCCUPATIONAL C NSE As required by City Ordinance. 1 hereby make application for an Occupational License. 1 understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete a Certificate of Use Inspection Form with the B&Z Department. Separate licenses are required for each business location in the City. PLEASE PRINT Name of Business busmess: phone: Street address of business: dL.�' S �-`-� _ South Miami,Florida Suite Product(s)to be sold or No. ` service(s)to be rendered: n-�- Name of owner � � Date business of business: l will/did commence: Tax +al Drivers 10# 6 _. `�j 6` �� Security# (� If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: �✓ WILL THIS BUSINESS... Be a professional OYES Join an existing office? M.YES Have door-to-door OYES Operate from a home? DYES association? W0 service? 13NO 0 Require state licensing? WES Require license C^U'ES Be ti ing fee exempt? DYES If yes, ❑N transfer'? DNO ONO provide documented Droof. Number of Gross floor area of Number ng spaces employees: U business faaifrty: a exclusively for this use: (mciudino owners and mans ement FOR RESTAURANT, Number of Health certificate DYES Will liquor DYES I If liquor is served, BAR.NIGHT CLUB: seats omvided: attached? ONO be served? ONO attach license. Person who wfll manage the business: `�""" w w.i � Phone: Address of above person: SMET ary STATE ZP CODE Name of d property owners(_, �� ' �C;�� Phone: FOR TRANSFERS,LIST THE PREVIOUS \ � Business name: \� c��:� - ts' z� Owners: �Z` Address LU �-- I hereby certify that the above information is true and correct, to the best of my knowledge and belief also understand that licenses obtained on a misrepresentation of material tact are null and void. SIGNED: y TTi1E ,c . _� y DATE 7 OFFICE USE ONLY' Account# - I Classification 3&-14'-' Year Amount: c� CU Fee Transfer Penalty Amount 1-15-1 Q Use -„nr- i' -' ft "jr "V clug of south Miami 198-2 19 6130 Sunset Drive, South Miami, Florida 33143 S,-FP APPLICATION FOR OCCUPATIONAL LICENSE R V As required by Chapter 13, Article 1 , Section '13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this form must be completed and returned before a license mayrbe issu d. � 1 ) � � �� 5. �-�S 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the City of South Miami : Home address Zip Telephone number Fictitious name of person, firm Nature of business of corporation (if one is used) . o U U Z —Type of merchandise handled, or Location of business separate l icelnse,, req,�iredsf location) U� Service rendered -�---3233 - Tel hone number 7) L Date when bu 'ness i�J i l l commence 31 � /� U U u ( In case of a parent firm located Name of owner of building_ in which outside the City of South Miami , business is located . state the date when business covered by South Hiami License will be commenced . ) 4) Tf a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of 'licensee 's fiscal n year preceding license period; if l/ not in business one year, value as of commencement of business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Sign d Date p,/ 3 As Title or explanation of connection with business . e71nn-2 RFV_ A-27-A2 LIQU'EN !K'MEE 11 R-MaMl LIC.NO.: 6130 Sunset Dr. South Miami, FL 33143 DATE: 667-5691 FOR YR.: NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Municipal Code of the City of South Miami requires the purchase of an occupa- tional license for the classification and in the amount stated herein, for the period ending: 7 0-1 Account Number 7�L 0 El ,cl LICENSE TAX PAYABLE AT OFFICE OF TAX COLLECTOR, CITY OF SOUTH MIAMI, ON OR BEFORE OCTOBER 1ST. IF NOT PAID BY ;Z* OCTOBER 1,A 10%PENALTY FOR THE MONTH {0 1 1,7"Y' r -- I OF OCTOBER AND.A 5% PENALTY FOR EACH J MONTH OF DELINQUENCY THEREAFTER WILL BE ADDED,AS REQUIRED BY MUNICIPAL CODE OF SOUTH MIAMI. MAKE CHECKS PAYABLE TO CITY OF SOUTH MIAMI Fort Lauderdale, Florida 33301 —Cl—ty—o f56—u-'Uh--M Home address Zip Harold J. Clare, Vice President (305) 940-03Z6 office Service Management Corporation of Florida 1q0 East Broward Blvd. , Ft. Lauderdale, Florida Telephone num er 33301 2) Plaza 7000 Associates Limited 6) Property Management Fictitious name of person, firm Nature of business of corporation (if one is used) Plaza 7000 Associates, Limited N/A ' -Qz"'� -� 33143 Type of merchandise handled, or 7000 S.W. ,62nd Ave fPH4--'B.�, South Miami, Fla�. Location of -111 iness (separate license required for each location) Manage Commercial office Buildings_ Service rendered (305) 940-0326 Telephone number 7) Date when business will commence 3) David T. Chase (In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South Miami License will be commenced. ) 4) if a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; if not in business one year, value as of commencement of business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed Date September 15, 1988 As V 4 ce President ..... ..... --- �oj,j of connection Title or e planation business. L=XtOO-Z REV.0-27-82 CRY ®f South Miami 19 8 !� 19 8 6130 Sunset Drive. South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter .13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make application for an Occupational License. I understand that this-form must be completed and returned before a license may be issued. 1 ) K4 t e "�^ :cd✓l�ry� " 5) Name of person or'persons ersons who wi _ Real name of person manage, control or direct thellx ° c' business to be transacted in the Home._address City of South Miami : Telephone number --=-_ — 2) .— ' Fictitious name of person, firm 6) eei'"✓� �r�'y-� —It of corporation (if one�is used) Nature of blasizresa ©0 6 V S%tc e° �-1'Ni- Fe—of r c'c1 . Location of business �epa7�ate ` �` Tyre •f merchandise handled, or license required for each location) 9 3o,j G Service rendered Tel— n 7) 3) Date when business will commence Name of *owner of building in which outsideethe of a CityroftSguth Miamied business is located, state the date when business �` �J .+vu� ��aiiii License will be commenced. ) ) If a AIM, names of members of firm g) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licensee's fiscal year preceding license period; if not in business one year, ' value as of commencement of business) : $ I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed . � . J Date As Title ion of connection with BZ�oa_2 REV. B-Z, -82 businessss .. a' IU Of Miami 1 1 6130 Sunset Drive, South Miami, Florida 33143 up " APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13; Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make, application for an Occupational License. I understand that this form must be completed and returned before a license may be issued. 1 ) 4- �z„v 5) Name of person or persons who will Real. name of person manage, control or direct the business to be transacted in the City of South Miami : s` Home address Zip �• , Telephone number Fictitious name of person firm Nature of bus ness of corporation (if orie is used) W �� =�Aae + �`� Type of m cn�andist handled, or Location of business separate license required for each location) Service •endered Telephone nu(nber — 7) /978 - ----- Date when business i�J ll commence S ; (In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located. state the date when business covered by South l'iami License will be commenced. ) 4) if a firm, names of menibers of firm, g) If merchant, value of stock carried and if a corporation, names of (defined as cost value- of stock on officer: of corporation: hand at- close of licensee 's fiscal year preceding license period; if not in business one year, value as of commencement of business) : I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void. ) Signed Date � As Title or explanation of connection with �`',�,i�' /1 ,.% . �/'/J��j�_'�/^ - 1�` business . BZ100-2 REV�/8-29 r82 ='� /`Lr C / / CUM of South Iirrti 19 8-&@= 19 82 6130 Sunset Drive. South Miami, Florida 33143 i, APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of- Ordinances of the City of South Miami., I hereby make application for an Occupational License.. I understand that this form must be completed and returned before a license may be issued. 1 ) George A. Buchmann 5) Name of person or persons who will R 1 n me f r o manage, control or direct the 7 e1 0 , . L. 3 3 2s 8St, business to be transacted in the Miami , *FL* 33158 City of South Miami Home address. . Zip George A. Buchmann 238 1811 Telephone number Buchmann and Associates 2) Attorneys-at-Law P .A. 6) Attorney-at-Law Fictitious name of person, firm Nature of business of corporation (if one is used) 7000 S .W. 62 Ave . , PH B2 Type of merchandise handled., or Location of business separate license required for each location) Legal services South Miami 33143 Service rendered 665 6278 Telephone number 7) 15 years ago 3) Plaza 7000 Associates , Ltd. Date when business will commence (In case of a parent firm located Name of -owner of building in which outside the City of South Miami , business is, located. state the date when business covered by South Miami- License W i l l be commenced. ) 4) If a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on office f corporation: hand at close of licensee 's fiscal Geor e Buchma President Year preceding license period; if not in business one year, value as of commencement of business) : $$Not applicable . I hereby certify that the above information is true and correct, to the best of my knowledge and belief. (Licenses obtained on a representation of material . fact are null and void. ) Signed George A. Buchmann Date Sep . 18 , 1986 As President Title or explanation of connection with b11s i ress . BZ100-2 REV. 8-Z7-82 CI'T'Y OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICAT ION 6130 Sunset Drive, South Miami,FL 33143 , ` X51 _- Phone: (305)663-6343 *Fax 305-663-6346 Finance Department 'j"bCE --- Check one: �ti NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS LJ CHANGE OF NAME Please Print NAME OF BUSINESS BUSINESS OR APPLICANT NAME: e ��L (.�'Z �- G _PHONE: 3�S "��I z� BUSINESS ADDRESS: )CA 33/ 5�3 MAILING ADDRESS: NAME OF OWNERS(PROPRIIEETOR, PARTNERS OR CORPORAIE O FICERRS)11 DATE BUSINESS WILL COMMENCE NCE IN THE CITY OF SOUTH MIAMI: Tax ID#: S. .#: Z`3 66 D.L.#: _ Emergency Contact Person: _ /J c� fl� PHONE: �6 Jr�SS LZ 7� PROPERTY OWNER: _ �1�� L f J U v7t �PHONE:.3�.� FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: _ PRODUCT(S)TO BE SOLD: SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: 7-3] GROSS FLOOR AREA OF BUSINESS FACILITY: I SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: s Ll DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES jaNO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS. (� Gy JOIN AN EXISTING OFFICE: Name of office: 66s,.5. ��S El a BE A PROFESSIONAL ASSOCIATION: // :'YES ❑ NO v REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) ®`�IES ❑ NO BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES 12< NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renew ing their license each year. I swear that all the above information is true and correct. ?�lGr� ��c 2, SIGNED � TITLE DATE l t3FI ICI�ti 1JSE" i�4LY :ti ITEiUIS: F;rEES USE: (o 0-DO [4U_5) c C' `� °i~Cie� LICENSE L s CLASSIFICATION:1� _ C.U. USE APPROVED BY: f c DATE: `� x'710 TRANSFER LICENSE NO: _ YEAR: ` i , PENALTY , f ISSUE DATE: 12-� _ BY: _ �~�� TOTAL _a_ �� ;•`- _ CIT Y_OP SOUTH MIAMI � OCCUPATIONAL LICENSE APPLI PATIO , 6130 Sunset Drive, South Miami,FL 33143 r _ Phone: (305)663-6343 *Fax 305-663-6346 Finance Department Check one: Q NEW BUSINESS O/XISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS / ,p BUSINESS 66 yr z OR APPLICANT NAME: ��i C �w �e Z / ^� PHONE: /! BUSINESS ADDRESS: MAILING ADDRESS: S� L NAME OF OWNERS(PROPRIETOR,PARTNERS CORPORATE OFFICERS) / II Al/YfUP 7i �G e- (��v 7 � If Z. DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#:13 ' ZSf'y9-1 S.S..-4: z�3 � j6 �/ D.L.#: Emergency Contact Person: _a e_ —PHONE: PROPERTY OWNER: �6,G1-/-z&' S70 U& PHONE: **1r******•k*******st**********•k**:Hr********ir*****aN:***Yrk**********************Ye********i4;Y:*irk********Y:***************************+F****4********1rk**4****rt* FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: C L Lq U[C t°S SERVICE(S)TO BE PERFORMED: F�Iktf/ �u/ /' L MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ;NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: JOIN.AN EXISTING OFFICE: Name of office: l2DsS ��N t y G �J� - DYES ❑ NO • BE A PROFESSIONAL ASSOCIATION: ❑YES ❑ NO • REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) U-1ES ❑ NO • BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 301" of each year and all merchants are responsible for renewing their license ea I swear that all the above information is true and correct. SIGNED TITLE-51 DATE �� Z ITEMS= s ..,.. .::_,. r,.p.., c4:; r. ,:.:., •t..-•tO F.X"ilCi$il=�JSE.a.NLY ... 7...::. ?'>...:v.. .. .:i:. ..,6,y ,.s.....s.. . USE: i LICENSE CLASSIFICATION: _ C.U. USE APPROVED BY: DATE': TRANSFER V —]LICENSE NO: / YEAR: PENALTY ISSUE DATE: `3 BY: TOTAL o� _ CITY Off' SOUTH MIAMI rr.. -- OCCUPATIONAL LICENSE APPLICATION ., 6130 Sunset Drive, South Miami,FL 3314 Phone: (305)663-6343 *Fax 305-663-634 eMO Finance Department Check one: ❑ NEW BUSINESS 13 EXISTING BUSINESS ❑,HOME BUSINESS ❑jANG- 0'FD RESSY ❑ CHANGE OF NAME Please Print NAME OF BUSINESS �^ A, BUSINESS / OR APPLICANT NAME: eW/z/ -j e, `7 • /- A y,9,00p eZ- PHONE: ,�OcS'N�6 BUSINESS ADDRESS: ADD oo 15_c6l) FA- `�1J3 MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) , ? f. DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: Tax ID#: 13 J yZ��6 a b S.S.#:: ?7 CO D.L.#: C Emergency Contact Person: _� � /0 ' /y � z PHONE: �D�'461;Z -.2! Z� _ PROPERTY OWNER: //lam JG y _ PHONE: W,� FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: V A G�LS C//, MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: © �" GROSS FLOOR AREA OF BUSINESS FACILITY: / �� SQUARE FEET . NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: Y DO YOU CURRENTLY HAVE A COVEN EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: El YES NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: J > JOIN AN EXISTING OFFICE: Name of office: ��SS wl`,e�G4 S El NO ➢ BE A PROFESSIONAL ASSOCIATION: S ❑ NO REQUIRE STATE LICENSING:(IF YES, PROVIDE PROOF) S ❑ NO ➢ BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES ❑ NO Note: Restaurants, bars or 'ght clubs atta healt rtificate and liquor license. All applicants must provide proof of sanitation services. All Occ nal Licens s expired on eptem er 30th of each year'and all merchants are responsible for renewing their lic each year. I ear that all a abo rmation is true and correct. SIGNE TITLE �J7t/ ® DATE .y _... .:.. _.... _ .... ,...;;,ITEMS.. USE: 7 �� °� 1� c�8 2f LICENSE CLASSIFICATION: _ C.U. USE APPROVED BY: DATE: 2 TRANSFER 0I,5U Out IbU Lbl. 0UULII IVIIGLIIII, I � �� r� vnIr- 3,t�— Cz— J -'- '' 663-6300 FOR YR.: f 915 a�'6 6 NOTICE OF AMOUNT DUE FOR OCCUPATIONAL LICENSE You are hereby notified that the Miunicipai Code of the City of South Miami requires the purchase of an occu- pational license for the classification and in the amount stated herein, for the period ending, SE:P`i`EMBE3 P, 30 9 c 6 . 30 LI-A4 OF,F-i-eE Account Number L-CENSE FEEL pEjj, LLJ`i 25s 5 0'e00 9cao--f!�03 25G.00 LICENSE TAX PAYABLE AT OFFICE OF TAX COLLECTOR, CITY OF SOUTH MIAMI, ON OR BEFORE OCTOBER 1 ST.IF NOT PAID BY OCTOBER W iCk F PA/ P f 667-04-7-5 1,A 10%PENALTY FOR THE MONTH OF OCTOBER '(� AND A 5% PENALTY FOP, EACH MONTH OF 000 SW 612 AVE/ SUI'Y-E DELINQUENCY THEREAFTER WILL BE ADDED, AS I4iizi F3.r FLA 33143 33143 � REQUIRED BY MUNICIPAL CODE OF SOUTH MAKE CHECKS PAYABLE 7-0 CITY OF SE7U-i i MIAMI THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE propnetos rtip,name of propnetor� — —— —` if partnership,names of partners if corporation,names of officers: Mark W. Kay, President WILL THIS BUSINESS... Be a professional XXYES Join an existing office? OYES Have door-to�oor ❑YES Operate from a home? OYES association? ❑NO 1)MNO service? XBNO X10 Require state licensing? �1'DES : 7,4, ❑YES Be licensing fee exempt? �o Ifro de documented roof. XMNO Number of arking spaces employees' 2 Gross floor area of indudin owners and mana ement business fadli 500 sq. feet exor this use: N/A FOR RESTAURANT, Number of Health certificate OYES Will liquor ❑YES If liquor is served, BAR.NIGHTCLUB: seats provided- NSA attached? NO be served? ❑NO attach license. Person who will Phone: (305)667-0475 manage the business: Mark W Kav 7000 S W 62nd AvePh B Soilth M'P11i F1 Ori rya 32143 Addles,,of above person: _ sTPEEt crrr STATE ZIP CODE Name of Phone: (305) 665-9880 property otmer _ Health South F0:21 W.-SFERS,LIST 4 THE PREVIOUS: NIA Owners: Business name: -,-_ Address:_ _ c I�}ereby ��rtiiy that the above information is true and correct,to the best of my knowledge and belief. I also rn&istand.thatt licenses obtained on a misrepresentation of material fact are null and void. 6/14/96 SIGtvEL: TITLE. P r P C rl P n t DATE: l Marx W. Ka OFFICE USE ONLY' ' Classification. Account# Year Amount: r. _ - C/U Fee �_7 , Transfer Penalty 'N✓ 1 Amount Use: �/!t OL C,�-�t CITY OF SOUTH MIAMI r- APPLICATION FOR OCCUPATIONAL LICENSE As required by City-ordinance, I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete &Certificate of Use inspection Fo ,r°.i ith the DEparor� n catc iitiei:5.:_ i; y::s.ir �I RC.'zzch business location in the City. PLEASE PRINT Name of `�'— Business business: e'91'r e ur 1 ; sit phone: �'� Street address of business: 7C-C,0 l;Z South Miami,Florida Suite Products)to be sold or No. service(s)to be rendered: - � C�/�Fc r, Name of owner --� r� Date business of business: �� -;c� /<c Ste• wilVdid commence: +' Tax. Social Drivers ID# Security# �2G 2 -7/- 2 Y i License# 12 2)3 2> l 22 Y j If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers: WILL THIS BUSINESS... Be a professional mss Join an e)asting office? MYES Have door-to-door DYES Operate from a home? DYES association? DNO ❑NO service? ONO ONO Require state licensing? DYES ' Require license ,D.,�YES Be licensing fee exempt? DYES If yes, ON6 transfer'? ENO ONO provide documented proof. Number of Gross floor area of /� Number of panting spaces employees: �-- business facility: U spy " I'e'xclusivelyfbor this use: 2,-- (Including owners and ntan ement FOR RESTAURANT, Number of Health certificate DYES Will liquor OYES I If liquor is served, BAR,NIGHT CLUB: I seats provided: attached? DNO be served? ONO attach license. Person who will manage the business: De i A. �%. -1,r_I Phone: Address of above person: �l`1 5 t..D 1`t c� 'I FE, Al i- STREET ary STATE ° CODE Name of property owner 14 rfl f' A Phone: FOR TRANSFERS,LIST THE PREVIOUS: Business name: l Owners_: �- ., Address: I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand thaj licenses obtained on a misrepresentation of material fact are null and void. SIGNED:-'`:r�� ''/ // TITLE: R icy - " DATE: ST:G ^ �► - ,,. ..... Q�F�F�'I"C'!�.':.._�'' ..^ y.i N=:'L... .. Account# f �Q Classification f� Year ` Amount: ^`� f C/U Fee �� Transfer / Penal ° Amount` l� . Bar' % �� 9 �/ i. ''' f Lai . " ;: : .aK CITY OIL' SOUTH MIAMI �n �, a s F , r 1 a x Srr OCCUPATIONAL LICENSE APPI.,ICATlI N � „",a„e.c„„ 4`I E . 6130 Sunset Drive South Miami FL 33143 AUG°ir°UG R 4 2 4 Phone:(305)663-6343 r 1003 FINANCE DEPT. , Finance Department Check one: ❑ NEW BUSINESS ❑ EXISTING BUSINESS ❑ HOME BUSINESS CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print NAME OF BUSINESS. /� r BUSINESSr OR APPLICANT NAME:.)1 0 i1 ' �9-- : � � ��? l Dr fi/J�C PHONE: 41�. 3 y y w i Fictitious Name/DBA: Ress NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BUSINESS ADDRESS: r1 L- MAILING ADDRESS: .7� �!� Tax ID#: -� � .3 S.S.#: D.L. DATE BUSINESS WILZCO MEN CE IN THE CITY OFSOUTH MIAMI PROPERTY OWNER: �� _J C1G� /G C f PHONE: /r 61 — 1�� _ FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: /f'K: 1 %3s PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: &62', i4,11 S f %i') T✓ZC /,j�� MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: �!� SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS:USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ® NO (IF YES, SUBMIT COPY OF CONTRACT) WILL THIS BUSINESS: ` ➢ JOIN AN EXISTING OFFICE: Name of office: OYES ® NO 00 a BE A PROFESSIONAL ASSOCIATION: i ® YES S NO 9 REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ® YES A ,_BE LICENSING FEE EXEMPT: (IF YES., PROVIDE PROOF) NO YES dpi NO FOR RESTAURANT, BAR, NIGHT CLUES: Health certificate attached? ® YES wl' o will Liquor be served? ® YES 6� N0 NUMBER OF OUTDOOR SEATINGS: 1 sweao° hat 01 a above 6faemala®n is taus aa� correct. SIGNED TITLE /, f'��/1 DATE Y 7 i r ; '.z a..�� .,.�. 1 UN, Rl;;S ri t { ..: ''”, �6i.•'!IhIw*.•. E `if.,�.i.,,,.� as�' ,c.1�av:..,. >s°#.t USE: 7--U Oil) ( ! - -� /•I '�'�:-f= C �" LICENSE CLASSIFICATTO-N: E'•' _S i(/ C.U. s USE APPROVED BY: �(� _,_ DATE: AUU. I ,,U`V F TRANSFER LICENSE NO: ° e`C°S�3 L YEAR: 0k.( PENALTY _ OUTDOOR SEATING ISSUE DATE: ___ - % BY: kpl-, ITOTAL "J '.i 1 ........ _ __...... t X2009 12:53 3056636346 PACE ei My OF SOUTH MIAMI LOCAL BUMNESS TAX En:q 6E3tS$unt i brfvc Srsulh Mieml,FI.33f43 �� . ;,u P hntG{305)66341343 •fist 303-663d,V6 w.1 if A Cheeis QM e WW MI-1 1 tESS CI EktSTlpg BIJSItJa±9 a HOME WSINE$S o CHARGE or AODR= a cxjAnYe(:;- kTE ��ATION IUA(rI� NAMF- �� 1e�9�-T�S�!L(/IC�S acHo�ss 3 6 6 6 osa S,A�Ig S B0 C BUSINESS ADOREss 3 W,. fp`� ^� AV f- �F} Al S,�1A'iLl t ate: NAME of ctivM�RS�FROfx UOR,PAMMErS OR COWOPATe OFFICE vU.A ,SIM !L Qa71~susaHE,$3 WILL COMM e4CF EAR THE CITY OF SOWN MIAMI: i �T-x tDf /906 5 P Rar�eTY awiv�R ,�/�2�C1►rIZE / �7� S�Uie��o�ae: 3a.�- Y�6 • 3G(�_ � FOR TRANSFER LIST PPZWOUS VALID LICENSE CIO: f PROOUCT(S)TO Bfi SOL ! �r j SERVICE(s)TO M PERORanElS: A G�' N7— s-g 2 MA)OMUM NUMBER OF EMPLOYEES INCLUDING OW NMS AND mANgGET2S, GROS'$FLOOR AREA OF j3WjNEss FACILi7'Y: 9QUAI Z FE�r NUM8I;A OF PAt KJNG SP`. n E,YCLU.SIwLt FOR THIS USE Do YdU'CLURRENTLY HAVE A COVENANT,EASEMrmW T,OR LONG TERM LEASE OC - UID�aRCEpQ TFS U9= D YES ~I NO FT)FOR OFF 517 �WRE4, ; COFY i( OF CONY AOT.) VOLL THIS SUSiNow; P JbW AN tXL9TING QP:P10E NaMaotof 1m: ! > SE A PROFESSIONAL ASSQCIATIONt ❑ YES ,NO REQUIRR$TATE LICE NSINC:(lfr YF'S.PROVIOE PROOF 0 YES a KQ + > aE LICENSINe FEE EXEMPT: IF YES,F O YES w_� ( FipV1?]$PROOF O YES Z NO I tifQte:RWtmrarris,Bars �. anlght dubs atach heath aerlEr-Pty end Liquor fk*nse. A! �pira�b must provide pnxf tf anterort I sarolcas, � All LOGW Wsirmus Tax Reoef e Their 110enso each ye -E xpire an 8epfembar WO of naCh yeem All ImerahRM are rasaonsible for renewiTIa Y of South mf;a not required to providt fsnetivetf nfllafioarion. I x SIGNS TITLE 6 LIS X017 M y-5- Pro s��. LAS IC4'iTONc 03 LICENSE USE APP n Y. Mwt C.u- ff D TE: 2 9 Ito Bf�R LIC O: l 3 s Ism RTE- T TAL 79 i r 31 -y i f IiI 4 Lm 'd SS[O "N WdSZ flH "Ir s� I ][JCENS APPLICATION $ 610` uns mve outli Miami,FL 33143 t a t ' tgne(3063 633 *Fax 305-663-6346 Finance Departnibmt Check one: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print CORPORATION NAME 1 / BUSINESS OR APPLICANT NAME: ��,,5 1.. . G 1 r o r1 1�.D PHONE:��® � (P tP DBA: NIA V BUSINESS ADDRESS: "9000 Z' W (0 2,'n& 4 S cle .Jdl�+nn� MAILING ADDRESS: Se.m _6oy_o_ J1 ,,3 Ai.t.L`L 71 C`�rr_, �. �• '�-� J�!'. � 5J /T NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN TIME CITY OF SOUTH MIAMI: 9 - 15-ore Tax ID#: S.S.#: 088-48-1,R&O D.L.#: O -Aga-n40 r]-� PROPERTY OWNER: �®he r+ PG U I Oe r 1A*L c o n 4&A µ D. PHONE: �w 0 S7 b fob a y k(o FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: Pal!A PRODUCT(S)TO BE SOLD: N A SERVICE(S)TO BE PERFORMED: t' I Q6.c-¢ — Ere,.4-+ JU.,r8 Q941, MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: ❑ se& Qr. Oer-L&r GROSS FLOOR AREA OF BUSINESS FACILITY: SQUARE FEET P'vrtwc,c NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: c2n + DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES XNO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: • JOIN AN EXISTING OFFICE: Name of office:R06 r+ Pi,% D <-W.W, ib pl Mq. YES ❑ NO • BE A PROFESSIONAL ASSOCIATION: Q YES NO • REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ,X YES ❑ NO • BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) ❑ YES )<NO Note:Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation services. All Occupational Licenses expired on September 30'h of each year and all merchants are responsible for renewing their license each year. I swear that all the above information is true and correct. SIGNED TITLE .D. DATE 11-311c)(0 OFFICIAL USE ONLY ITEMS FEES USE{%-)D °� ��.�t LICENSE S" `S-v CLASSIFICATION:t�J�9 A 9 / C.U. USE APPROVED BY: /' DATE: / TRANSFER LICENSE NO: l.' 7 7v ;,) YEAR: f PENALTY ISSUE DATE: 7ZJC BY: TOTAL 5�t1 G s �E CITY OF SOUTH A41AMI - - --, OCCUPATIONAL LICENSE APPLICA'r i r 6130 Sunset Drive, South Miami, FL 33143 n �, Phone: (305)663-6343Is Id I �;�ANCE___�E 'T] Fina�ace ®ep�al�l�nt _ Check one: ❑ NEW BUSINESS ISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Please Print r NAME OF BUSINESS gOA1,9 BPHONE:SX 30 6&9�?�'� OR APPLICANT NAME: � r ` ' BUSINESS ADDRESS: (�i7L � � ' A " MAILING �i , (� ADDRESS: D r, �i;2 f � , 3S 1` p Ct f'3� a-�• S � NAME OF OWNERS(PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OE SOUTH MIAMI: J` _ Tax ID#:- �-1f (0 �3� Sf.S.#: _D.L.#: Emergency Contact Person: 7Z / �i�� " ! I cytc'x'iell PHONE: PROPERTY OWNER: >/— PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: i PRODUCT(S)TO BE SOLD: od SERVICE (S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAG 'RS: GROSS FLOOR AREA OF BUSINESS FACILITY: 2 e0 _ SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: n: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONG TERM LEASE (CONTRACT) FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES ❑ NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of officer o"l0rVQ6t SiZaJX'°i �� YES ❑ NO } ➢ BE A PROFESSIONAL ASSOCIATION: W-YES ❑ NO r +� l� ..,; ➢ REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) AYES L3 NO L3 � BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) YES NO a. Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of s.Ation service:;. All Occupational Licenses expired on September 30th of each year and all merchants are responsible for renewing there license each year. I swear • at all the above information is true and correct. SIGNED `� _ TITLE �`-fi • ice. DATE 7` "Oq' ' _ N y� yzw.y }zx€ fzn.'..11171 'fin".:. i' r. 3, 1, ., USE: `t U'��'� ,l✓' �) ��` � l ' ��a✓ LICENSE , 5 3�, TJ CLASSIFICATION: C.U. USE APPROVED BY: � DATE: /x'' TRANSFER LICENSE NO: -, YEAR: e. PENALTY IS 59E DATE: fd BY: TOTAL 3I S� g1�1 �o CITY OF SOUTH MIAMI OCCUPATIONAL LICENSE APPLICATION BUSINESS NAME: $ C�^1ZL�o2y®� '� ' PHONE: 3-r) BUSINESS ADDRESS: 7° ° ° S t,3 G t ` -S- 1` MAILING ADDRESS: 4�oL- DATE BUSINESS DID/WELL COMMENCE IN SOUTH MIAMI TAX ID#: S.S. #: C)Z+7-5��-S�'� b.L. #: NAME OF PROPRIETOR,PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: ` -` - T- q ADDRESS:` �� r �` `, L- PHONE' _L_._(25�? z ?�} 5 `P4 PROPERTY OWNER: i'o'J PHONE: FOR TRANSFER LIST PREVIOUS VALID LICEP�E NO. PRODUCT(S) TO BE SOLD: SERVICES) TO BE RENDERED - GROSS FLOOR AREA OF BUSINESS FACILITY: SQjJARF FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: - NUMBER OF EMPLOYEES INCLUDING OWNERS AND.MANAGERS: _ WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES NO JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES �^ I40 HAVE DOOR TO DOOR SERVICE YES NO OPERATE FROM A DOME - YES __,NO REQUIRE STATE LICENSING(IF YES,PROVIDE PROOW YES NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES -- NO�r � RESTAURANT, EAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVEDE PROOF OF SANITATION SERVICES. I SWEAR.THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT. � SIGNED E DATE •21 -�D OFFIeUCLUSE ONLY 4 ,11 Z-L FEES USE: , - 0 LICENSE CLASSIFICATION:' V C. U. USE APPROVED BY: DATE: -IV TRANSFER ACCOUNT NO.: ,_o _Q 3 Y3 YEAR: 1PENALTY ISSUE DATE: 4 & o- BY: TOTAL at � 1 2�Ioo •.)595 CITY OF SOUTH MIAMI OCCUPATIONAL APPLICATION LICENSE BUSINESS NAME: PHONE: . BUSINESS ADDRESS: MAILING ADDRESS: i DATE BUSINESS DIDPNILL COMNIENCE IN SOUTH:MIAMI TAX ID #: , . S.S. # r D.L. #. NAME OF PROPRIETOR, PARTNERS OR CORPORATE OFFICERS: EMERGENCY CONTACT PERSON: s ADDRESS: PHONE. PROPERTY OWNER PHONE:r FOR TRANSFER LIST PREVIOUS VALID LICENSE NO PRODUCT(S) TO BE SOLD: SERVICE(S) TO BE RENDERED:_... GROSS FLOOR AREA OF BUSINESS FACILITY: NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: SQUARE FEET NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: WILL THIS BUSINESS: BE A PROFESSIONAL ASSOCIATION YES JOIN AN EXISTING OFFICE (IF YES,PROVIDE PROOF) YES NO HAVE DOOR TO DOOR SERVICE NO OPERATE FROM A HOME YES NO YES NO REQUIRE STATE LICENSING(IF YES,PROVIDE PROOF) YES NO BE LICENSING FEE EXEMPT (IF YES,PROVIDE PROOF) YES NO RESTAURANT, BAR OR NIGHT CLUB ATTACH HEALTH CERTIFICATE AND LIQUOR LICENSE. ALL APPLICANTS MUST PROVIDE PROOF OF SANITATION SERVICES. I SWEAR THAT ALL;TKE"ABOVE INFORMATION IS TRUE AND CORRECT. SIGNED TITLE — _.. DATE OFFICIAL. USE ONLY I USE: - FEES CLASSIFICATION: LICENSE ° USE APPROVED BY: C. U. DATE: .' TRANSFER ACCOUNT NO.: YEAR. — PENALTY ISSUE DATE: J BY: TOTAL, JUL-15-1997 11:21 CIT`( OF SOUTH MIAMI BZCD 1► 1 V l' Jv v [ 6 t.taszavaa '� ' "� `G APPLICATION FOR OCCUPATIONAL L19XNSE As required by City Ordinance. I hereby maize application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that first time occupants of any premises will be required to complete a Certificate of Use inspection Form with the B 4.2 Department. Separate licenses are required for each business location in the City. PLEASEPR1�Nr business: Mon r1 er ��.. L �'°�� `1 ,t�, ')honey Cv �o 3— (o 9212 Street address � �• � �off~ �,V-e- 0/T�/ � u.�� of business: ° yt South Miami,Florida Suite g2 Product(s)to be sold or •j.3 J�3 No. 0 O a service(s)to to rendered: 1')4:—, d i cC,1 (2cc e►-e- Name of owner. Date business of business �a100,I ate-F"Fkc4-aswin �Zw in � - l @C.(ca,,&Dwt7Udid commence: /0 -"-30-47-social 1D# 57—// 9,�'a 3 s k?/j 1 — LUcense# 6 36 —16 7—V r—7,:3 If proprietorsto,name of proprietor N ,names of partners � �� if won names of afrit rs a✓� d a w a C' �i u.,C -e 6 vb r A, - WILL THIS BUSINESS.. Be a professional Join an existing office? WtS Have door-b400r C]YES Operate from a home? OYES association? 'ONO DNO set AM? 111W immb Require state licensing? 5 Require license WES Be Imensatg fee extempt? Cl`lE5 if yes, ONO transfers ONO L$NO provide documented proof. Number of Gross flair area of 01 Number of pmidrtg employees: business tadW. `y emdusive for this use: ® mdudtn owners and ement FOR RESTAURANT, Number of moth ., -5t-1 1 C1YES va km OYES If liquor is served, BAR.NIGI4T CLUB seats onavidM. atmched7 ONO be served? 040 attach license. Persori"th bbuusiness ��V S. a h, '� .ge Phone: .3 S Address of above person: 7b 0 O S.W. 6,z2 S'z>. M ;r t,,t - R• 33/ V � star am / STME WOME Named L if flsy L47 Phone: -6 Prop"owner FOR TRANSFERS,LIST THE PREVIOUS Business name: Ownem Address I hereby certify that the above information is true and correct,to the best of my knowledge and belief. I also understand that Iicenses obtained on a misrepresentation of material Fact are nail and void. SIGNED: _ JJ TtTIZ DATE �Z OFF-ICE USE ' ONLY' Account ' 04U Classification Year Anicur ' C!U Fee / Transfer Penafh► Amount . —f-dP TOTAL P.01 CITY OF SOUTH MIAMI 1 ' APPLICATION FOR OCCUPATIONAL LICENSE As required by City-Ordinance, I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fu-st time occupants of any premises will be required to complete ti)� ;^-pa. ent. Separate licenses are, far each busi:.css locat.n n u PLEASE PRINT Business Name of /l f M /��C,-ri • rJ phone: business: 1 /�1��-'l Cl- ` Street address` South NGami,Florida of business: Suite Product(s)to be sold or Y`j S ( ) f�7L'7>/C`i-�'C, S��il,�ir L FS ' No. services to be rendered: Date business Name of owner - of business: / 01 UGC d" `��%t c��=7� � 1�, Drivers Tax. _ Social �G --`j 3 61 License# ID# S �'= (^ Z�J�G Security# r If proprietorship,name of proprietor, if partnership,names of partners if corporation,names of officers: Sra Cc`'�''!'2 •�i�� =��»`/` ��, � N /-1 • WILL THIS BUSINESS... rate from a home? DYES Be a professional C YES Join an etasbng office? DYES Have door r6� 040 association? ONO - �: Require license DYES Be licensing fee exempt? DYES If yes, Require state licensing? C3YES � DNO ONO de documented roof. DNO Number of - Number of panting spaces �pi0 ' Gross floor area of mdudin owners and.1m ement business fac ili . exciusivel for this use: ,FOR RESTAURANT, Number of Health certificate DYES Will Liquor rS If Gquorserved, f BAR,NIGHT CLUB: seats ro v ded: attached? DNO be served? attach fI Person who will _� Phone: j ' — manage the business: �� S -S�• ��Za aU� . CODE Address of above persons -'� CITY S7ATE sr�r Name of l � Phone: property owner �3 r. FOR TRANSFERS,LIST THE PREVIOUS: Owners: Business name: Address: certify that the above information is true and correct, to the best of m kn nrWelnull and belief. I hereby fy u�� I also understand that licenses obtained on a misrepresentation of material ac J6 r L , r ILI ' DATE. SIGNED: 1,�` '`�`:� TITLE: _ . s:r ...tJ �', Classification Account# ,r `R `� % Y', "%' Amounts `i � i r Year. % Amount g� CN Fee 1 Transfer �°r Penal •�c.,��-- �°�. ,: ^% CITY OF SOUTH MIAMI \U/ �j / 6 �/�©( APPLICATION FOR OCCUPATIONAL LICENSE As required by City Ordinance, I hereby make application for an Occupational License. I understand that this form must be completed and returned with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete a�: �c: :r insptct;on z=c;rsn �.�.:,;. _ Z Department. Separate._c._..�s a~' . irrd for-. tz k.uir;css ltcct:��r�a;� �:W.. : PLEASE PRINT Name of Business business: --�---°-� cz�� phone: Street address �" of business: 7C f 0 f, C-d • & I-ta South Mami,Florida Suite (� Product(s)to be sold or ; No. s service(s)to be rendered: SC>l2Z1iC'�?4 Name of owner Date business of business: � Sr7 ( C ��;�� '; �t>, �� will/did commence: Tax. —c'_ . Social Drivers ID#_ 5 / ,1 "l a Security# ?�S'- �{4 License# If proprietorship,name of proprietor if partnership,names of partners` . ifcorporation,names of officers: IWO WILL THIS BUSINESS... , Be a professional MES Join an erasting office? I KOS Have door-to-door DYES Operate from a home? DYES association? DNO service? WO QN0 Require state licensing? DYES Require license ST Be licensing fee exempt? DYES If yes, DNO transfer? I ONO I ONO provide documented proof. Number of ; Gross floor area of Number of parking spaces employe business facilitT. exclusively for this use: (mcluding owners and.ran ement FOR RESTAURANT, Number of Health certificate OYES Will liquor OYES If liquor is served, BAR,NIGHT CLUB: seats provided:_ attached? Mn be served? ONO attach license. Person who will manage the business: e"Yc .C.�t S fi3 r.c-�f_- Z, iii�J _ Phone: Address of above person: STREET My STATE ZIPCODE Name of property owner ��1l S� D-l"Cam' L Ce, Phone: FOR TRANSFERS,LIST THE PREVIOUS: ✓� Business name: '` /r// Owners: Address: � �('T S, ��'��/ T r Zit �\�. Z ��I'l I hereby certify that the above information is true and correct,to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: -X�G u�c:, :,�_ TITLE: DATE Account# %� of Classification Year j Amount: ` G� 21U Fee / Transfer ✓ Penal Amount - CITY OF SOUTH MIAMI APPLICATION FOR OCCUPATIONAL LICENSE As required by City-ordinance, I hereby make application for an Occupational License. I understand that this form must be completed and renmied with copies of proof of sanitation services. I also understand that fast time occupants of any premises will be required to complete U zz'c,. r=]m with the $&Z Deparanerr. `3eo.. PLEASE PRINT Name of Business / business: 7- /�7��/f G'� �,�T. yh��' . phone: Street address . of business: 7CC>C) South Kami,Florida Suite Product(s)to be sold or `'No. S services)to be rendered: `,lame of owner / Date business ,,'af business: z 71 , will/did commence: 'i Tax social Drivers D it 61 -�2 % Security# License# If proprietorship,name of proprietor if partnership,names of partners t if corporation,names of officers:) WILL THIS BUSINESS... i Be a professional DYES Join an e)asting office? DYES Have door-tocr AYES Operate from a home? CNES association? DNO LINO service? MVO C Require state licensing? BYES Require license DYES Be licensing fee exempt? DYES If yes, D 40 transfer'? DNO ONO de documented proof Number of Gross floor area of Number of parking spaces employees: 7 business facili exclusively for this use: 1 (Includinq owners and ntan ement FOR RESTAURANT, Number of Health certificate DYES Will liquor DYES If liquor is served, BAR,NIGHT CLUB: seats provided: attached? DNO be served? ONO attach license. Person who will ,� � � manage the business: /C y]t��f�I' %-G = � , IL/ 2) Phone: t �G Address of above person: IMtr` STREET CITY STATE W CODE Name of property owner r"}l> / l G�'in�� Phone: FOR TRANSFERS,UST THE PREVIOUS: Business name: ` Owners: / �/% � �� Address:' �Gt1 �1 JZc C��2 c, ,J I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. P � s � Cc�1 SIGNED: TITLE: /l/• <� / � DATE c.a ..c ,.,.• .: .. : .,.. /� G C ! /r (� p z� - �- r .1. -u—i�z:'Yi,r:•-:�Kap.vrv.%�r��'T ,.. .,,. _y;. -. ...,. 'a.x, ..... _.r.y.r.. .q_.c` .'Q+F" f"`1'V•� .. V"3Y�"��.I�',>L•..� %v�e_p:rs�;E?!r 2 - Account*, T � Classification f.9 Year. %!l1 Fee unt r ,I 613U -)unsat Lit. �.,u .. . .. FOR YR 663-6300 NOTICE OF AMOUNT DUE FOR OCCUPATIORAL LICENSE purchase of an occu Lion and in the amount stated herein, for the period ending: Ste `&,7iiS r �°a'1 . You are hereby notified thatl�c�Nlunicipal Code of the City of South IJiiami requires t� p pational license for the class Account)Number 0G 00 96-01- L10EILNSE FEE LICENSE TAX PAYABLE AT OFFICE OF TAX COLLECTOR, CITY OF SOUTH MilANA1, 0 OR 6 i--8 3 0'0 BEFORE OCTOBER 1 ST.IF NOT PAID BY Oy. ER, C�' rrG -,'F p °i / y c� A 10%PENALTY FOR THE MONTH OFY!.JCT ' � � / S rti� # PH—S - ' AND A 5% PENALTY FOR EACH�AAOt -� GS`,T�c� s;,=��,', L��,+�./ ��-�s-� - DELINQUENCY THEREAFTER Ili� V by -53143 REQUIRED BY F.AUNICtPALVUC_.,OF SOUTH IS 0 MAKE CHECKS OAYABC`l' CITY OF SO T Fi YJIAIJI ' THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE ,._-- �Idl�iJUSlrle55 — -- will/didcommence:Drivers ID# '�%°c2(�7% �� Secx,nry# �'� S' / % t3oerTSe# If proprietorship,name of proprietor if partnership,names of partners if corporation,names of officers:° :Si�C/ �}�i� ��, rJ �t1, ✓�- " WILL THIS BUSINESS... Be a professional DYES Join an existing office? DYES Have door-to-door DYES Operate from a home? DYES association? ON I EINO service? DNO 0NO Require state licensing? ES Require license OYES Be licensing fee exempt? DYES If yes, DNO transfer? I I9N0 096 priovide documented proof. Number of Gross floor area of Number of panting spaces j employees: c business fa ill . exclusive for this use: -� din owners and,man ement FOR RESTAURANT, Number of Health cen5fic ate DYES Will liquor DYES I If liquor is served, BAR,NIGHT CLUB: seats rovided: attached? DNO be served? DNO attach license. Person who will /�� , manage the business: k"Zz�,� � �"�', '��2, �� Phone: Address of above person: STREET crrY STATE ZIPCODE Name of A�7 pr operty owner J l�r� r �y � Phone: FOR TRANSFERS,LIST j THE PREVIOUS: Business name: " Owners: 1Cy E Address: ,/ } `��l ' �/ul�f' > i' l r�z,f �"vyi'G� I hereby certify that the above information is true and correct, to the best of my knowledge and belief. I also understand that licenses obtained on a misrepresentation of material fact are null and void. SIGNED: `�`�` �-� -� TITLE: �' DATE. -'I Z L SY Account# Classification Year C%�L'L , = Amount C� . C/U Fee / `Transfer De nat �� Amount(�-;�- d' 1 1 .�.� 6130 Sunset Drive, South Miami, Florida 33143 APPLICATION FOR OCCUPATIONAL LICENSE As required by Chapter 13, Article 1 , Section 13-1 , of the Code of Ordinances of the City of South Miami , I hereby make ,application for an Occupational License. I understand that this form must be completed and returned before a license may be issued . 1 ) _�� /�LEy l?'� C�-��n,�E'R ► .D 5) Name of person or persons who will Real name of person manage, control or direct the business to be transacted in the f 5*1 Ui ck1✓l—L q City of South Miami : Home address Zip Telephone number Fictitious name of p^ s-on,� ' ature' of business of corporation (if one is used) 1060 Pq Type of merchandise handled, or Location of business separate license required for each location) OT HC-7P, tAq Service rendered Telephone number 7) 0 IV— c1,1)0= RS E Date when busines i:ill commence 3; '1000 4575' . ( In case of a parent firm located Name of owner of building in which outside the City of South Miami , business is located. state the date when busine-ss covered by SOUth f'iami License will be commenced . ) 4) Tf a firm, names of members of firm, 8) If merchant, value of stock carried and if a corporation, names of (defined as cost value of stock on officers of corporation: hand at close of licen'see 's fiscal year preceding license period; if not in business one year, value as - of commencement of business) : I hereby certify that the above information is true and correct, to the best' of my knowledge and belief. (Licenses obtained on a misrepresentation of material fact are null and void . ) Signed Date 3 As Title or explanation of connection with business . ezion-2 REV, 8-27-82 Sep. 16. '1'010 16: 01AM No. 3094 P. 3 CITY OF SOUTH MIAMI _ LOCAL BUSINESS TAX RECEIPT 6130 Sunset Drivc,South Miami, FL33143 Phone:(305)663-63 3 4 *Fax 305-663-6346 �?. '"•-%"%�3 Finance Department Check one: D NEW BUSINESS EXISTING SUSINESS Q HOME 13USINSSS ❑CHANGE OF ADDRESS Q CHANGE OF NAME Pfeasa Prinf BUSINESS CORPORATION NAME PHONE: '1 U OR APPLICANT NAME: 4,,� 55 GL/y� �'� ZX DBA: BUSINESS ADDRESS: MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: � Tax ID#: - 9 D.L.#' PROPERTY OWNER: T PHONE: �� I G �—u=- FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: JV PRODUCT(S)TO BE SOLD; SERVICE(S)TO BE PERFORMED; MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: FA GROSS FLOOR AREA OF BUSINESS FACILITY:_ � SQUARP FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE; DO YOU CURRENTLY HAVE A COVE NT,EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE:O YES O (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: SS / 51 M YES ❑ NO ➢ JOIN AN EXISTING OFFICE: Name of office: � YES ❑ NO 9 BE A PROFESSIONAL ASSOCIATION: ➢ REQUIRE STATE LICENSING:(IF YES,PROVIDE PROOF) 0 YES Q NO ? BE LICENSING FEE EXEMPT:(IF YES,PROVIDE PROOF) ❑ YES U NO Note:Restaurants,bars or night c 6s attach h Tlh cerfificate and liquor license. All applicants must provide proof of sanitation services. All Local Business T ceipt ext3' a on September 30`h of each year. All merchants are responsible for renewing Their license each e h III South Miami is not required to provide renewal notification- SIGNED TITLE P .1 ' DATE USE: t�DD © c� ��t�.css Pvn S t LICENSE CLAS ICATION' 3 C.U. US APPROVE BY: t w DATE: ZZ to TRANSFER LICENSE NO: YEAR: PENALTY ISSUE DATE. BY: I ' t��i C��-Wt I TS k��•-,-„e„•.j f�.Iw'µ'�_�i k e r t: • 2 '•.PEA ml x H Vj t,w• �G L n cv 3. o � o m Lu � ❑ f rr] . a Wh )71 xg LLL -L-U o. - -- a N --- -- Wb�o o. D.J.oz ,9 s 6o� PLANNING&ZONING DEPARTMENT source 6130 SUNSET DRIVE o . DRAFT SOUTH MIAMI,FLORIDA 33143 F 305.663.6331 FAX:305.668.7356 INCORPORATED 1927 P e&q !t SCUM J&w[.+ March 11, 2011 Ross University Tony Ayubi, AICM Program Manager 7000 SW 62nd Avenue, Penthouse A South Miami, FL 33143 RE: Occupational License for Ross University, 7000 SW 62nd Avenue, Suite PH-B&M Mr. Ayubi: In regards to the Business`s Tax Receipt application for the above listed establishment, the Planning and Zoning Department is unable to approve your application. On March 11, 2011 a site inspection was conducted by the City of South Miami where the following observations were noted: • Classrooms with lectures in progress • Examination rooms • Study/Lab Rooms • Training rooms with examination tables • Offices Based on these observations, your establishment is considered to be a College or University, which is not allowed in any of the zoning districts for the City of South Miami. If any questions should arise from this letter, please do not hesitate to contact myself at the information listed above, or the Occupational License Coordinator, Hector Rabi at (305) 663 6343. Sincerely, Marcus W. Lightfoot, Permit Facilitator Planning and Zoning Department c: Carmen Baker, Code Enforcement Manager Hector Rabi, Occupational License Coordinator ZAOccupational License Letters\Disapproval Letters\Zoning Disapprovals\Ross University Disapproval Letter.doc CODE ENFORCEMENT&BUSINESS LICENSING SDUT�! 6130 SUNSET DRIVE 04 'lr� SOUTH MIAMI,FLORIDA 33143 F � 305 668-7335 ------ FAX:305666-4591 INCORPORATED 1927 �C O R{O P April 5, 2011 Ross University Tony Ayubi, AICM Program Manager 7000 SW 62nd Avenue, Penthouse A South Miami, FL 33143 RE: Business Tax Receipt and Certificate of Use Applications for Educational Offices Business Address: 7000 SW 62 Avenue, Suite PH-B &PH-M Dear Mr. Ayubi: Your application for a City of South Miami Local Business Tax Receipt and Certificate of Use for educational offices has been denied. A review of your application(s) revealed that the business classification applied for cannot be approved for the following reasons(s): The City of South Miami Code of Ordinances, Section 13-4. Application for License states, in per: "...All licenses shall be applied for... In such application, the applicant shall set forth...the full nature of the business; where the license tax is based thereon... (1) the applicant has failed to fully disclose the full nature of the business or has misrepresented information in the application." The BTR application dated September 16, 2010, described the services to be performed as, "Educational Offices.'' a) On March 11, 2011, a certificate of use site inspection was conducted and the following observations and thereby space uses were noted: Medical teaching facility 0 Classrooms— some empty and several with lectures in progress • Medical Examination rooms • Study/Lab Rooms • Training rooms with examination tables • Offices (2) The. applicant desiring to engage in the business, as described in the application, has selected a proposed site or type of business activity, which does not comply with City's zoning ordinance or other laws of the City." Based on the above noted inspection findings, you failed to accurately describe on the application the full range of services that were to be performed by this business. The use for this business is considered to be a high level teaching facility or College, University, and it is not allowed in any of the City of South Miami's zoning districts. Therefore, any approval of your application would be in violation of the City of South Miami's Code of Ordinance. Furthermore, it is unlawful to open and/or operate any business within the City limits without the required Business Tax Receipt and Certificate of Use. Pursuant to the South Miami Code, Section 13-7, Determination of classification. An applicant in disagreement with a business classification for licensing purposes has the right to appeal such decision to the city commission,whose decision upon the point shall be final. An appeal must be filed within thirty(30) days of receipt of this notice. If you have any questions regarding this matter, please do not hesitate to contact me directly at (305) 668-7334 or cbaker @southmiamifl.gov. Sincerely, Carmen V. Baker Code Enforcemen anager Attachments C: Hector Mirabile, Ph.D., City Manager Orlando Martinez DeCastro, Chief of Police Ana Baixauli, Major of Administration Thomas F. Pepe, Acting City Attorney Lourdes Cabrera, Acting Planning& Zoning Director Ayl f =; o � � lk i. . �,. > tit '•L., `,: . . -<?• ,vim, `� is•.::�..1,,,�r?' � :iY `e;� O � �\//�\) C '0 hI ------ eh, 1.6.. 2010 10 01AM No. 3094 P. 3 CITY OF SOUTH MIAAII ✓ t. LOCAL BUSINESS TAX RECEIPT I 6130 Sunset Drivc, South Miami, PL 33143 Phone:(305)663-6343 1 Fax 305-663-6346 Finance Department Check one: 0 NEW BUSINESS 114EXISTING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Plaaso Print // ,J '/C� OR APPLICANT NAME:. �DaS S /��1��/`.s � PHONES DBA: �J BUSINESS ADDRESS: / y �at/Gli ��- T, MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) BATE BUSINESS WILL.COMMENCE IN THE CITY OF SOUTH MIAMI: D Tax ID#• � - .��9 59 S.S.#• 0.L.It: PROPERTY OWNER: 9��C �S PHONE: FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: A PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: �� SQUARP FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: :;.2,0. DO YOU CURRENTLY HAVE A COVE NT,EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE:❑ YESANO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: Ass M YES ❑ NO A BE A PROFESSIONAL ASSOCIATION: Cl YES ❑ NO REQUIRE STATE LICENSING:(IF YES,PROVIDE PROOF) ❑ YES ❑ NO ? BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES Q NO Note: Restaurants, bars or night c 6s attach hn i1h cerfificate and liquor license. All applicants must provide proof of sanitation services. All Local Business T celpt ex , e on September 30`h of each year. Aif merchants are responsible for renewing Their license each e h Cit f South Miami is not require�dd to provide renewal notification. Ile SIGNED TITLEr�i�l/T�� iSl.L� DATE iF 1 USE: u1�D LICENSE CLASS, ICATION• 03 C.U. US APPROVE BY: DATE: Z TRANSFER LICENSE NO: YEAR: IPENALTY ISSUE DATE' BY: TOTAL 11111))) y �� • ,�'4, ��r 1>`1 uj c by y Ce n ell b Lh o �' ► W o � Jam• i CITY OF SOUTH MIAMI LOCAL BUSINESS 'TAX RECEIPT 6130 Sunset Dzive, South Miami;FL 33143 Phone:(305)663-6343 M Pax 305-663-6346 Finance Department Check one: ❑ NEW BUSINESS XEX18TING BUSINESS ❑ HOME BUSINESS ❑CHANGE OF ADDRESS Q CHANGI=OF NAME Please Print CORPORATION NAME ,,// tf BUSINESS �" / �f�' OR APPLICANT NAME: I.�NI P4S -r/ PHONE: 21 J—(��&7'6� DBA: �/ /y BUSI NESS ADDRESS: /��O Ste/ /V �' u 1 z''"�'U�1 MAILING ADDRESS- NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) (� -r 41<y7� DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: � �v Tax ID#: ��/ S.S.#: - D.L.#: PROPERTY OWNER: K/,LS 7 PHONE: J41y" FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: �J lf— PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: ��"iD MAXIMUM NUMBER.OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: /(� GROSS FLOOR AREA OF BUSINESS FACILITY: �', /. l� I SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: 1196 DO YOU CURRENTLY HAVE A COVEN NT, EASEMENT, OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: Ell YES NO (IF YES,SUBMIT COPY OF CONTRACT,) WILL THIS BUSINESS: �/ ➢ JOIN AN EXISTING OFFICE: Name of office:4 5S 1Z NIV�1/cO 517 (o Ld YES ❑ NO b BE A PRQFESSfONAL ASSOCIATION: ❑ YES ❑ NO 9 REQUIRE STATE LICENSING:(IF YES,PROVIDE PROOF) ❑ YES ❑ NO ➢ BE LICENSING FEE EXEMPT' (IF YES,PROVIDE PROOF) ❑ YES ❑ NO Note:Restaurants,oars or i. clubs atearth certificate and liquor license. All applicants must provide proof of sanitation services. All Local Business Receipt�o ;r/oon September 30"'of each year. All merchants are responsible for renewing Their license eac y The C Of South Miami is not required to provide renewal notification. SIGNED T ITLE �/ / �� (� DATE Il/Z/v 0 .FICIAL USE ONLY ITEMS "' FEES USE: TO®0 V-S� LICENSE C SIFICAT o3 G.U. SE APPR VED BY: DATE: TRANSFER LICENSE N0: YEAR: PENALTY ISSUE DATE: BY: ITOTAL �Glf�I�f' t/1S��n►�dv� �� ' off' ��t� �L° �Q . , .. . C.6 fit''` �.. .. .• ,tee. (/j A '•r,. cn cr d— ti60� '�N --'-=-- WV-0 :0I 0[0Z '9l 'da.S Sep 16 2010 10: 01AM No 3094 P 3 CITY O SOU TH 1��J��. LOCAL BUSINESS TAX 1ECMPT t f 6130 Sunset Drive,South Miami,FL 33143 Phone:(305)663-6343 *Fax 305-663-6346 Finance Department Check one: ❑ NEW BUSINESS EXISTING 6USINESS ❑ HOME PUSINESS ❑CHANGE OF ADDRESS ❑ CHANGE OF NAME Pfaasa Prinf /� A, BUSINES OR APPL CANT NAME . ,s S' !�/f/I�I �S f � PHONES DBA: BUSINESS ADDRESS: � MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) - ITO DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: � Tax ID#:�� -� /�/% S.S.M n D.L.M PROPERTY OWNER: t!if /G PHONE: / / b y FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: 'V PRODUCT(S)TO BE SOLD: G SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNE=RS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: �L� SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENT,EASEMENT,OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE:0 YESNO (IF YES,SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: ➢ JOIN AN EXISTING OFFICE: Name of office: SS / Sf M YES ❑ NO 9 BE A PROFESSIONAL ASSOCIATION: C] YES Cl NO D REQUIRE STATE LICENSING:(IF YES,PROVIDE;PROOF) ❑ YES ❑ NO ➢ BE LICENSING FEE EXEMPT:(IF YES, PROVIDE PROOF) ❑ YES Q NO Note:Restaurants,bars or VEh bs attach h flh cerfificale and liquor license. All applicants must provide proof of sanitation services. All Local Business T t exl?'re on September 30`h of each year. Aff merchants are responsible for renewing Their license each e Cit f South Miam i is not required to provide renewal notification. SIGNED TITLE © r .SZt V DATE= Milli 1111111R yff 0210—M USE: uDl7 LICENSE CLASS, ICATION/ v3 C.U. US APPROVE BY: DATE: TRANSFER LICENSE NO: YEAR: PENALTY ISSUE DATE: BY: T(3TAt VJL 3 t` Lou cF C TRANSMIS"ION 'v'ERIFICATION REPORT TIME 09/28/2010 16: 17 NAME FAX 3656636346 TEL : 3056636346 SER. # BROF5J291331 DATE,TIME 09/28 16: 16 FAX N0./NAME 9173250948621252 DURATION 00:00:29 PAGE(S) 02 RESULT OK MODE STANDARD ECM MIAMI-DADE FIRE RESCUE DEPARTMENT FIRE PREVENTION DIVISION MIAMI.P3ADE 9300 NW 41 ST STREET o MIAMI,FLORIDA 33178 PER MIT Below is the Annual Operating Permit issued by the Miami-Dade Fire Rescue Department. Should you have any questions regarding this permit,please contact the Fire Prevention Division at(786)331-4800 PERMIT#: 10126-05212 ROSS UNIVERSITY 7000 SW 62 AVE #PH-M SOUTH MIAMI, FL 33143 (Please cut along dotted line and post permit in your place of business) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — PERMIT CERTIFICATE MIAMI•t DE MIAMI-DADE FIRE RESCUE DEPARTMENT MM ANNUAL OPERATING PERMIT 9300 NW 41 STREET MIAMI,FLORIDA 33178 (786)331-4800 PERMIT #: 10126-05212 PERtMIT EXPIRES LAST DAY IN THE (MONTH OF: 10/19/2011 Business Name: Business Owner / Rep: ROSS UNIVERSITY TONY AYUBI Business/Business Offices Location Address: Billing Address: 7000 - 7000 SW 62 AVE PH-M 7000 SW 62 AVE #PH-M SOUTH MIAMI, FL 33143 SOUTH MIAMI, FL 33143 This Permit is issued in accordance with Article III,Section 14-53,of the code of Miami-Dade County and the South Florida Fire Prevention Code under conditions set forth herein. Violations of the aforementioned will be grounds for immediate revocation. _ Permit Authorized by: —' f — J�. Chief Manuel Mena,Fire Marshal Miami-Dade Fire Rescue Department FlPSPermitBatch.rpt 02/11/2011 295 MIAMI-DADE FIRE RESCUE DEPARTMENT FIRE PREVENTION DIVISION tti1IAM1.E3ADE 9300 NW 41 ST STREET u MIAMI,FLORIDA 33178 PERMIT Below is the Annual Operating Permit issued by the Miami-Dade Fire Rescue Department. Should you have any questions regarding this permit,please contact the Fire Prevention Division at(786)331-4800 PERMIT#: 10126-05212 ROSS UNIVERSITY 7000 SW 62 AVE #PH-M SOUTH MIAMI, FL 33143 (Please cut along dotted line and post permit in your place of business) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — PERMIT CERTIFICATE MIDADP MIAMI-DADE FIRE RESCUE DEPARTMENT ANNUAL OPERATING PERMIT 9300 NW 41 STREETa MIAMI,FLORIDA 33178 ' (786)331-4800 PERMIT #: 10126-05212 PERMIT EXPIRES LAST DAY IN THE MONTH OF: 10/19/2011 Business Name: Business Owner / Rep: ROSS UNIVERSITY TONY AYUBI Business/Business Offices Location Address: Billing Address: 7000 - 7000 SW 62 AVE PH-M 7000 SW 62 AVE #PH-M SOUTH MIAMI, FL 33143 SOUTH MIAMI, FL 33143 This Permit is issued in accordance with Article III,Section 14-53,of the code of Miami-Dade County and the South Florida Fire Prevention Code under conditions set forth herein. Violations of the aforementioned will be grounds for immediate revocation. Permit Authorized by: Chief Manuel Mena,Fire Marshal Miami-Dade Fire Rescue Department FIPSPer jtBatch.rpt 02/11/2011 295 6130 Sunset Drive, South Miami, FL 33143 Phone: (305)663-6343 e To: Ross University From: City of South Miami ADDRES7000 SW 62 AVE PH-M Date: September 28, 2010 Phone: 305-667-5455 Paves: 1 CC: Attn: PAT BURGAN ACCOUNTING MANAGER Q Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle •Comments: Business License Selection Display Foe. Business License Selection Display Please be advised that your Business License with the City Of South Miami has been approved to be issued. Change of name 1!L �r. s Certificate of Use $75.00 1;= Business License $425.43 Total$500.43 Thank You for your Cooperation. You can mail it back to City of South Miami Finance Dept. i' Checks payable to City of South Miami. FOR ANY QUESTIONS PLEASE CALL 305-663-6343. �k I. www.sunbiz.org - Department of State Page I of 2 IS B'-:} a ; e�•. °�k � ' ` � � �` v _... .. . .... ... .. Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return To List :Entity Name Search Events Name History Submit Detail by Entity Name Foreign Profit Corporation ROSS HEALTH SCIENCES, INC. Filing Information Document Number F99000006225 - FEI/EIN Number 133979959 Date Filed 12/02/1999 State NY Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 12/21/2009 Event Effective Date NONE Principal Address 630 ROUTE 1 SUITE 300 NORTH BRUNSWICK NJ 08902 Changed 04/23/2009 Mailing Address 630 ROUTE'1 SUITE 300 NORTH BRUNSWICK NJ 08902 Changed 04/23/2009 Registered Agent dame & Address C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION FL 33324 US Officer/Director Detail Name &Address Title TCFO ST.JAMES, JOHN T 630 ROUTE 1, SUITE 300 NORTH BRUNSWICK NJ 08902 Title PD SHEPHERD, THOMAS C 630 ROUTE 1, SUITE 300 NORTH BRUNSWICK NJ 08902 Title D 3/22/2011 http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=F990000062... www.sunbiz.org - Department of State Page 2 of2 GUNST, RICHARD M 630 ROUTE 1, SUITE 630 NORTH BRUNSWICK NJ 08902 NJ Title SD DAVIS, GREGORY S 630 ROUTE 1, SUITE 300 NORTH BRUNSWICK NJ 08902 Annual Reports Report Year Filed Date 2008 03/26/2008 2009 04/23/2009 2010 01/19/2010 Document Images 01/19/2010--ANNUAL REPORT View image in PDF format 12/21/2009-- Name Change View image in PDF format 04/23/2009--ANNUAL REPORT View image in PDF for 03/26/2008--ANNUAL REPORT View image in PDF format 04/24/2007--ANNUAL REPORT View image in PDF format 01/24/2006--ANNUAL REPORT View image in PDF format 03/31/2005--ANNUAL REPORT View image in PDF format 04/27/2004--ANNUAL REPORT View image in PDF format 03/03/2003--ANNUAL REPORT View image in PDF format 04/22/2002--ANNUAL REPORT View image in PDF format 05/04/2001 --ANNUAL REPORT View image in PDF format 10/19/2000--REINSTATEMENT ( View image in PDF format 12/02/1999-- Foreign Profit View image in PDF format Note: This is not official record. See documents if question or conflict. ............ Previous on List Next on List Return To List _ _ Entity Name Search Events Name History F. Submit Home I Contact us I Document Searches I E-Filino Services I Forms I Help I Coovriaht©and Privacy Policies State of Florida, Department of State http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=F990000062... 3/22/2011 tyh d !tr 17' ` x o � d > A C vo th d ti60E 'IN — Wb�O Ol OIOZ 9l aaS ' Sep. 16. 2010 10: 01 AN No. 3094 P, 2 CITl O'F SOUTH MIAMI LOCAL BUSINESS TAX RECICUP ' 6130 Sunset Drive, South Miami,FL 33143 Phone:(305)663-6343*Fax 305-663-6346 Finance Department Check One: ❑ NEW BUSINESS EXISTING BUSINESS ❑ HOME BUSINESS O CHANGE OF ADDRESS Q CHANGE OF NAME Please Print CORPORATION NAME BUSINESS OR APPLICANT NAME:_ S��l Y 5��/ _ PHONE;. BUSINESS ADDRESS: _/e a sz 11 gA)GL. /e'/ /✓1 fir/(I%!r ��/ �i �`G MAILING ADDRESS: NAME OF OWNERS(PROPRIETOR,PARTNERS OR CORPORATE OFFICERS) c :T' ,f L. )C'd V DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI: � �v Tax ID S,S.#: D.L.#: /i PROPERTY OWNER: G l/�Y I `LS 7- PHONE: JA5�— '�'/V'f 1�r/ FOP TRANSFER LIST PREVIOUS VALID LICENSE NO: PRODUCT(S)TO BE SOLD: SERVICE(S)TO BE PERFORMED: MAXIMUM NUMBER.OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: GROSS FLOOR AREA OF BUSINESS FACILITY: '�', SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT.OR LONG TERM LEASE(CONTRACT)FOR OFF-SITE REQUIRED PARKING FOR THIS USE: ❑ YES NO (1F YES, SUBMIT COPY OF CONTRACT.) WILL THIS 1USINESS: JOIN AN EXISTING OFFICE: Name of office: AD 5S k O WS17 11f YES ❑ NO > SEA PROFESSIONAL ASSOCIATION: ❑ YES ❑ NO ➢ REQUIRE STATE LICENSING:(IF YES,PROVIDE PROOF) ❑ YES ❑ NO ' Y BE LICENSING FEE EXEZS'(1F YES,PROVIDE PROOF) El ❑ NO Note:Restaurants, bars or i. attach ealth certificate and liquor license. All applicants must provide proof of sanitation services. All Local Business Receipt a re on September 30t1'of each year. All merchants are responsible for renewing Their license oac y The C Of South Miami is not required to provide renewal notification. SIGNED TITLI=/? __�// 61 FILIAL USE ONLY ITEMS FEES IUSE: TO Dp U-5- LICENSE C SIFICAT 03 WSE APPR VED BY: DATE: TRANSFER LICE=NSE NO: YEAR: PENALTY ISSUE DATE: gY: TOTAL t.EP . 't Sep 16 2010 10. 01RM No 3094 P. 1 630 US Hfghway i N.Brunswick,NJ 08902 732-509-4600 o 73250914802 www.rossu.edu 4m' Hector Pro" Pat Burgan Fax: 305-663-6346 Pages: 5(including cover sheet) Phone: 305-663-6343 Datel 9/16/10 Rat Bus.Tax receipt cc: ❑ Urgent ©Par Review Q Plus®Corn mepnt ❑Please haply ❑Please Recycle ® comments: Hi Hector, Per our conversation,attached are the Local business tax receipts and certificate of use applications for the additional spaces at 7000 SW 6264 Ave., S. Miami, FL. please mail the invoice to the address above. Thanks Pat Burgan Amounting Manager LLI MIAMI-DADE FIRE RESCUE DEPARTMENT ik FIRE PREVENTION DIVISION 9300 NW 41 ST STREET l . MIAMI,FLORIDA 33178 �,i - F Below is the Annual Operating Permit issued by the Miami-Dade Fire Rescue Department. Should you have any questions regarding this permit,please contact the Fire Prevention Division at(786)331-4800 PERMIT#: 10126-05213 ROSS UNIVERSITY 7000 SW 62 AVE #PH-B SOUTH MIAMI, FL 33143 (Please cut along dotted line and post permit in your place of business) PERMIT CERTIFICATE: MIAi tl.� 82- MIAMI-DADE FIRE RESCUE DEPARTMENT iwe s ANNUAL OPERATING PERMIT 9300 NW 41 STREET MIAMI,FLORIDA 33178 (786)331-4800 i 'yam .• \``tea` PERMIT #: 10126-05213 PERMIT EXPIRES LAST DAY IIN THE MONTH OF: 10/19/2011 Business Name: Business Owner / Rep: ROSS UNIVERSITY TONY AYUBI Business/Business Offices Billing Address: Location Address: 7000 SW 62 AVE #PH-B 7000 - 7000 SW 62 AVE PH-B SOUTH MIAMI, FL 33143 SOUTH MIAMI, FL 33143 This Permit is issued in accordance with Article III,Section 14-53,of the code of Miami-Dade County and the South Florida Fire Prevention Code under conditions set forth herein. Violations of the aforementioned will be grounds for immediate revocation. Permit Authorized by: Chief Manuel Mena,Fire Marshal Miami-Dade Fire Rescue Department Finpermit6atch.rpt 12/10/2010 - 382 MIAMI-DADE FIRE RESCUE DEPARTMENTyee FIRE PREVENTION DIVISION 1'' '�e 9300 MN 41 ST STREET IA I O F , MIAMI,FLORIDA 33178 u� PE��'`vtlT J Below is the Annual Operating Permit issued by the Miami-Dade Fire Rescue Department. Should you have any questions regarding this permit,please contact the Fire Prevention Division at(786)331-4800 PERMIT#: 10126-05213 ROSS UNIVERSITY 7000 SW 62 AVE #PH-B SOUTH MIAMI, FL 33143 (Please cut along dotted line and post permit in your place of business) PERMIT CERTIFICATE MIAMI- ?; MIAMI-DADE FIRE RESCUE DEPARTMENT ANNUAL OPERATING PERMHT 9300 N 41 STREET MIAMI,FLORIDA 33178 (786)331-4800 PERMIT #: 10126-05213 PERMIT EXPIRES LAST DAY T--hl THE MONTH OF: 10/29/2011 Business Name: Business Owner / Rep: ROSS UNIVERSITY TONY AYUBI Business/Business Offices Billing Address: Location Address: 7000 SW 62 AVE #PH-B 7000 - 7000 SW 62 AVE PH-B SOUTH MIAMI, FL 33143 SOUTH MIAMI, FL 33143 This Permit is issued in accordance with Article III,Section 14-53,of the code of Miami-Dade County and the South Florida Fire Prevention Code under conditions set forth herein. Violations of the aforementioned will be grounds for immediate revocation. Permit Authorized by: Chief Manuel Mena;Fire Marshal Miami-Dade Fire Rescue Department FIPSPermitBatch.rpt 12/10/2010 362 - 6130 Sunset Drive, South Miami, FL 33143 0 0 Phone: (305)663-6343 To: Ross University From: City of South Miami ADOPUES7000 SW 62 AVE PH-B Date. September 28, 2010 Phone: 305-667-5455 Pages: 1 CC: Attn: PAT BURGAN ACCOUNTING MANAGER EI Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle -Comments: Business License Selection Display For. 17M�7,VT-;`s- F:77.77-- Business License Selection Display Please be advised that your Business License with the City Of South Miami has been approved to be issued. Change of name Certificate of Use $75.00 Business License $425.43 it ji Total$500.43 Thank You for your Cooperation. You can mail it back to City of South Miami Finance Dept. Checks payable to City of South Miami. FOR ANY QUESTIONS PLEASE CALL 305-663-6343. www.sunbiz.org - Department ofState Page 1 of 2 ..: - - y Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return To List Entity Name Search Events Name Histo FSubmit Detail by Entity Name Foreign Profit Corporation ROSS HEALTH SCIENCES, INC. Filing Information Document Number F99000006225 FEI/EIN Number 133979959 Date Filed 12/02/1999 State NY Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 12/21/2009 Event Effective Date NONE Principal Address 630 ROUTE 1 SUITE 300 NORTH BRUNSWICK NJ 08902 Changed 04/23/2009 Mailing Address 630 ROUTE 1 SUITE 300 NORTH BRUNSWICK NJ 08902 Changed 04/23/2009 Registered Agent Name & Address C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION FL 33324 US Officer/Director Detail Name &Address Title TCFO ST. JAMES, JOHN T 630 ROUTE 1, SUITE 300 NORTH BRUNSWICK NJ 08902 Title PID SHEPHERD,THOMAS C 630 ROUTE 1, SUITE 300 NORTH BRUNSWICK NJ 08902 Title D http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=F990000062... 3/22/2011 www.sunbiz.org - Department ofState Page 2 of1 GUNST, RICHARD M 630 ROUTE 1, SUITE 630 NORTH BRUNSWICK NJ 08902 NJ Title SD DAVIS, GREGORY S 630 ROUTE 1, SUITE 300 NORTH BRUNSWICK NJ 08902 Annual Reports Report Year Filed Date 2008 03/26/2008 2009 04/23/2009 2010 01/19/2010 Document Images 01/19/2010--ANNUAL REPORT View image in PDF format 12/21/2009-- Name Change View image in PDF format 04/23/2009--ANNUAL REPORT View image in PDF format J. 03/26/2008 --ANNUAL REPORT View image in PDF for 04/24/2007--ANNUAL REPORT View image in PDF format 01/24/2006--ANNUAL REPORT View image in PDF for 03/31/2005--ANNUAL REPORT View image in PDF format 04/27/2004--ANNUAL REPORT View image in PDF format 03/03/2003--ANNUAL REPORT View image in PDF format 04/22/2002--ANNUAL REPORT View image in PDF format 05/04/2001 --ANNUAL REPORT View image in PDF format 10/19/2000-- REINSTATEMENT. L View image in PDF format 12/02/1999--Foreign Profit View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To List -........- - --- - Entity Name Search Events Name History Submit I Home I Contact us I Document Searches I E-Filinq Services I Forms I Hell) I Copvright©and Privacy Policies State of Florida, Department of State http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=F990000062... 3/22/2011 Ord ��®1 IrJ •:fir � �I � / lll�rl�r % '��'� _�.I �' ��+ ;�► 0 Mi plai - i C17Y OF solUTH MIAMI PS19 I00-1 PERMIT J / BUILDING AND ZONIMr REV, 3-I5-71 NO., FOLIO NUMBER•. - TYPE OR PRYt.T - - FILL BUILDING PERMIT APPLICATION APPLICANT HEAVY LINESNSIOE OWNER. Caldwell Plaza, Corp.. TEL ND 667-6497,Fla. 9 MAIL ADDRESS, '48 S. ti S Miami,� .." .. - OW N,HR-BUILDER A, 635-0871 OUALIFIEO Y N' _ CHECKED.BY D:IILDING CONTR;, FI'ed Howland., Inc iTEL 110 - ` ILO.CARD KLE_SURV. DRAINAGE PLAN MIN.FL.tLEV: REO'D._.Y_MJt[C'O�Y�I(_CX[CKtO(PROl:]LY_/1_.AGOVC FL,. MAIL ADDRESS -N , 20th St' • Miami, 'a - Y5, L OW NUMBER CONCRETE' Gamble CARD'' -Y_�N' TESTS RCOUIRED ARCHITECT _ -_. -& Gi •ro .. ... CMG.. PILE O�RIV. ` TT�T - 3UPER:_Y_H_SUIER.—Y_N_OTXCR ENGINEER. - H. J.- ROSS 16ROUP AND_.- TYPO CONTRACTOR D1YtGlOx CONST_ COAL.TO GUILD_Y—N—, _ PREFA!UNITS - SHOP DWGS., SEAL LEGAL DESCRIPTION.OF JOB: LOT NO` DLOCK'NO. APPR OVED__.:—Y_m _N_REDUIRED_Y_N_RLOD._Y_H_ �• �!`L� �/ LOT S. _ SOVARE 3UDDIVISION Soo.. 44c%'' 1FAgL SEC TWP_ RGE: �cbvER.. OR `fH15 PE •M1Tf INCLUDES: [STkMATED PEE , METES d BOUNDS; _ _ - - P.M_.a PAGE NO._ PEINC'. `fT 0 Roo Vic✓'-62 s�L -/^ J oo GcDa. 73 STREET ADDRESS OF JOB - ACCE330i1Y ) - Q �� LOT SIZE _1'39034 �SURVEY AYTACNEDT .LOT S'T � AKED,T - es fCR'N PRESENT USE IVACANL.OR NO.OF BUILDINGS.AND.-USE OF EACH,) ItNCE POOL FAVINS rj _ •.. - __ SOAKAGb MT- -J - I NEkrii MAKE''APPLDATWX FOR PERµR TO[RECT 1.. AI.TIM DEMOLLIN Lj' ArD J _ - PAINT � O REPAIR REMOVE r] REMODEL= A7,STORYRESDENTIAL COMMERCIAL' YoTAL GLC'f. S.. $, C V:1 a.FCrs ROOF STRUCTURE WITNCDS 13' FRAME E]• OTHER• .CONSTRUCTION - a OCCU_PA)1LY-PERMIT FEE FOR THE FOLLOWING SPECIFIC USE AND OCCUPANCY Office: Bld . and Parkin Gara Q TOTAL AMOUNT.DUE CUBE, . ZONE' REQUIRED O)=FICIAL HWY. WIDTH. Additionpl i»ms shorn on fM p].DS and cov.,od by.t)iis pirmit: x DEDICATED WIDTH w WALL .D FENCE(�" PAVING b SCR:ENCL. POOL�j SOAKAGE PU t PA9PiY KO_of O NO..OF Q, NO.OF HOTEL "LOT DIMENS'. LOT AREA LIVING UNITS BEDROOMS STORE UNITS PERMIT NO- - -' - WATER CO: g1EIjtR 'S_:R'Q.RESOLUTION!CHECKED.--_-r-Y' N RAME OR �OLI.UTI ON WELL MCA M•T MQ. - - - - 1 URDERSTAND THAT SEPARATE-PERMITS MUST DE OSTAINED FOR TN[ IOLIOWING ITEMS; PFOOF-OG p UNLESS SPECIFICALLY:COVERED GT THIS PERMIT: ELECTRICAL, FLUMOING. SEIZ/C7l�NK� OWNERSi11P CHECKED DY- F - WELL: NEATER;-AIR CONDITIONINi'. SOAKAGE PITS; 4Ol►EAS. SIGNS. ELEYAT:ORS.CFENC[• SCREEN ENCLOSURtS..WALL.PAVING.AND►OOL,'AND THAT IN 11GNINS.THIS APPLICATION. I AM ONS1OLE FOR THE SOPER1�'',ISIOU AND.COMPLETION OF THE COIISTRUCTION JN - ACCO THE PLANS,AND ECIFICATIONS AND FOR COMPLIANCE WITH ALL,FED.+ V(OLA710N;i.L A»s [�CAeLS. CHECK. _NECKED DDATE ?. - QONT CERT. i - (SiEnollue'of Con'tracfaF 1pua�+Tr1 or Ou.'xt>`RNildtl On+yJ i1UM13%. CLASS CHECKED DY WITNESS(CLERK) BATE ACCEPTED: tSS.0 ED 81!': OAT E: CONDITIONS UNDER WHICH APPROVED APPROVED DAnE Dl$APp „V EO DATE REASONS (ATTACH •t1/0L0^CARD) ZONING STRUCTURAL - - - PLUMBING - ELECTRICAL L2. Z MECHANICAL ' DESCRIPTION OF PROPERTY: The Bast 149 feet of the North 115,'feet of the East of the Southeast. k of the', Southeast.',.j of the Soiithvest of sectian 25, Township:: 54 South, Range 40 East ai2d the, South 130 feed off' the North 245_ feet 'of- the East of-tlie, Southeast of the Southeast' of the Southwest aY 'sectian 25, T`OWnshiP 54 South Range 40 East,' ali lying..and being Count3i -a Dade , Florida. _ a ,"CALDWELL PLAZA' CORPOI2ATICN : r it #1715A 7000 SW 62 Avenue 1=1"0-72 See 25-54-40 Office .-Building & Parking ? (See Addn. Card for Legal) Garage $2 ,500, 000. ' Office .Bldg. 116, 170 sq. ft Variance granted 1/17/78 Garage 60, 818 sq. " ft. Fred Howland Inc . d 1i Electric: #10253 3-29-72 Lamson &Tyre 3 .00 #10304 7/18/72 Lamson & .Tyre 474, 35. .E #10457 2/21/73 Lamson & Tyre 7 '25 Plumbing #10537 4-27-72 Port San 4 Q0 - #10563 5-31-72 Poole & Kent 411 5;0 #� 6 9/7/72 Port.-O-San In 0 t' 1:. 4 ::00 1 Roof: Building: #17350 5-31-72 Poole ..& Kent 600.00:: #17601 1/16/73 Wes inghouse Elec . 44 . 00 Electric: $k10530 '9/7/' 3 Lamson-Tyre $13.65 #1.0529 9/7/73 Lamson-Tyre #10587 11/16/73 Lamson-Tyre 46.00 #10645 2/7/74 Lamson-Tyre 8.50 #10714 10/3/74 Lamson-Tyre 113 .50 #10729 12/12/74 Brothers Elec. 3 .50 Plumbing: #662 9/17/74 City Plmbg. $22 .50 #678 12/10/74 Paul Rhyne $4.00 #688 1/21/75 Home Gas Co. 3 .25 Electric: #10714 10/3/74 Lamson-Tyre $113 .50 i j Building: #18651 5%27/75 F. Camp, Jr. 15. 00 #19949 6/10/77 Bernard Sork 17.50 _420339 12/15/71 Cla.rk-Biondi Co. 37.50 10473 4/1-1/7 3 tam son I< Le Elec . 8.04915'. Plumbing: ##407 4/10/73 R. T. Chapman $ 14 .00 #416,, 4/20/73 City Plumbing 40. 00 s #423 4/27/73 Sun Gold Ind. 4 .00 Building: #17702 4/2/73 Gel-fand Roofing, Inc . $35 .00 _ . #17726 4%19/73 City Plumbing Co.A/C 163..:00 ' 9 #17721 4/17/73 Cla.ude Maint. & Serv. 10.00._:. #17753 5/8/73 City Plumbing 17. 00: #17751 5/4/73 McCallum Caldwell Corp. 55 .00 #17769 5/24/73- McCallum 22 .: 0.0 #17770 5/24/73 McCallum Caldwell 3 .50 " CALDWELL PLAZA CORPORATION (CONTINUED) 7000 SW 62 Ave. t Electric : #10518 8/14/73 Lamson-Tyre $19.85 #10-5 19. . . 8/];4/7.3 Lamson.-Tyre 22 .50 #10531 9/7/73 Lamson-Tyre 10.80 Plumbing: #481 10/11/73 City Plmbg. 25 .00 #493 10/29/73 F. McGilvray 5 .00 . Roof: Building: #17810 7/17/73 Sever Paving Co. $24-.00 #17834 8/3/73 Caldwell Plaza. 41.50 # 18019 1/16/74 McCallum-Caldwell 75 .50 #18236 6/18/74 D. Tilling 10.00., #18413 10/4/74 McCallum-Caldwell 75 .00 r CALMTnTEtt PtA`�A. CORPORA' 161 (CC NTINUtb) 7000 -S W. 62 Avenue Electric: #10786 6/10/75 Brimson Electric $4 ..25 " #k109� 9, 4/21/76 Bortz & Soft Electrical 3.00 #10963 5/3/76 Earl Thomas Elec. 3 .00 #p11014 7/20/76 Valdes Electric 6.25 #11277 12/16/77 Anchor Electric 56.28 .t Building .:#18942 y2/31/75 31/75 Gengis Assoc . 5 .00 Y rCk19183 4/27/76 B. Sork 5 00 Plumbing ,, 037 . _ 4/23/76 Brooks Amer. Sprinkler 5 00 41104 2/18/77 A. L. Hildebrandt 40.75 #1164 5/13/77 A . L. Hildebrand 21,25 s - l dAtb%tTT, PT.AZA CORPORATION (CONTINUED) 7000 S . W. 62 Avenue Electric: 11165 6/14/77 Earl Thomas $5.00 #11402 9/8/78 Elec. & Comm. Contr. ' 6.00 Plumbing: #1450 8/31/78 Christensen Plumbing 10.00 Building: #20214 10/12/77 Hair Unlimited Inc. 17.50 /4kv #20618 6/1/78 Bengis Assoc . 20.00 c #20797 8/29/78 Edw. Malm, Inc. 12 .50 #20810 9/12/78 The Clark Biondi Co. 47.50 #$20998 12/21/78 Floyd E. Camp 17.50 #21059 1/25/79 Clark-Biondi Co. 12 .50 Electric: 411043 9/9/76 Earl ' W. (AAA) 011107 2/16/77 Tri Star Electric $229.;20 (hickey's) #11120 3/1.5/77 Anchor Electric $5 .00 (3rd Floor) #11559 6/22/79 Carmen Electric 6.0.0 3 Building: #19354 7/7/76 Perfect Constr. $7..:50 #19469 9/2/76 Bernard Sork 5 ,00 (AA1� . # 19724: 2/10/77 Carlson Constr. 402.50 (hickey's Rest.)#19764 3/10/77 Clark Biondi :Co. 12-.5.0 (AAA) #19765 3/11/77 - Southeast Mech. -Const. 51.00 #19984 6/22/77 Clark Biondi "Co. 12 .50 #19985 6/22/77 Clark-Biondi Co. 12 .50 i 4 ----------..__.. 1 Electric: 411404 9/12%78 Aftchut Electric Thd. *16.60, #11514 4/3/79 Carmen Electric 5.50 #11526 4./18/79 Carmen Electric 8.00' #k11541 5/9/79 Monahan' s .Electric 15.00 Plumbi ng #1451 9/12/78 Horne. Plumbing , 57.50 ; #1598 6/29/79 Horne Plumbing 7.50 Building #21214 4/3/79 U. S. Const: Corp. 27.50 #21242 4/17/79 U. S. -Const. Corp. 27.50 #21274 5/7/79 U. S. Const. .Corp. 27.50 #21381 6/21/79 U. S. Const. Corp. 22 .50 #21512 8/23/79 Felipe E. Oruna 62 .50 #21826 2/6/80 Carlos Iglesias Inc . 62 . 50 Electric : #11662 2/11/80 Marpin .Corp . 48 .00 CALDWELL PLAZA CORPORATION (CONTINUED) 7000 SW 62 Avenue Electric : #11718 5/6/80 Marpin Corp . 54 . 50 s #117.2'8 5/29/80 Marpin Corp . 22 . 00 . #11765 8/6/80 Rbt . E . Lastra Elec : 31 . 50 ( 510) #11777 . 10/7/80 R. E . Lastra 15 . 50 Plumbing : #1719 2/21/80 Nelmar Plumbing $7 . 50 i I Building : #21910 3/25/80 Al Springer Rfg. 8 . 0.0 .#21916 3/26/80 Iglessias 5 . 00 Ste . 500) #21990 5/2/80. Carlon J. Iglesias 132. 50 a #22003 5/13/80 Isotech 32 . 50 #22022 5/27/80 C . Iglesias . 37 . 50 . a Ste . 506) #22073 6/30/80 Isotect , Inc . i PLAZA 7000 ,(CONTINUED) 7000 S . W. 62 Avenue. i Building : (.560 ) #22520 4/ 14/81 Isotech Corp . 20 . 00 (532 ) #22536 4/22/81 C . Eglesias 45 . 00x (532 ) #22545 4/29/81 Isotech Corp . 10 . 00 (530) #22565 5/7/81 C . Iglesias "60 . 00 ( 530) #22570 5/12/81 Isotech Corp . 10 . 00 ( 600) #22581 5/19/81 Carlos Iglesias 435 . 0C (600) #22607 6/5/81 Isotech Corp . 15 .00; (650) #22650 6/30/81. Carlos Iglesias 12.0 . 0" (520 & 525 ) #22761 9/24/81 Carmel Dev . Group 15 . 0C' (570 ) #23198 7/28/82 S . Brodie 22 . 50 (570 ) #23217 '8/11 /82 AMCO Const . 15 . 00 Plumbing : #1769 6/2/80_ Nelmar Plumbing 7 . 50 #1862 1 /12/81 Nelmar Plumbing 15 . 00 Electric: #111770 9/24/80 R. E. Lastra Elec . 64 .50 _.__..( PH----G) _ _.._#1 1$_0.4 -_ 12 12 8 0 _ .A T-0-2 __E1 e c t r i c _ ._ 1-8 50- { . - 1 CS 70 #12059 7/30/82 Cayamas Electric Corp. 80 11 { - - Bulding:.._......��221.2.0 -g/5/g..o.__.__..C...- Igles. __ 9-0 :00..._...--3 -8/2-9/-80 -I-s o t e-c h--....-C o-r p , __:- __..15,..00--------- �_.________......------- #2-219-5-----_9/.2.5.✓.8.0..___Ls.o_tec.h_.�.o.r. j 122208 9/30/80 Carlos Iglesias Inc . 27 . 50 . #22330-- 7 2/.8/80.... { _ . .. 5.6.0.)- #2.2.5.7.3 .._ 4./-1-3%8.1--- --Ca r l o s .-E g l e s-i-a s-_I_n c ,_...._ 12 0 -0.0-- Electric : (560) #11868 4/20/81, Robert Lastra 83 . 50 - (532 ) #11873 4/30/81 Robert Lastra 17 . 75 s (530) #11878 5/11 /81 Robert Lastra 34 . 25 f (600 ) #11888 6/8/81 R. E . Lastra 210 . 00 i (630) #11902 6/30/81 R. E . . Lastra 81 . 25 . Additional fee Pd . 8%21 /81 141 . 00 (600 ) #11888 Addn . ' l Fee Pd . 8/21 /81 525 . 00 Plumbing : ( 560 ) #1905 4/20/81 Nelmar Plumbing 17 . 25 (600 ) 6-/8/81 Nelmar Plumbing 47 . 25' (570 ) #214.6 8/11 /82 Action Plumbing 15 . 00 . pi aka �n (CO.NTINUED) 7000. .5 W ; 62 Avenue Electric ( 306 , -309 ) : #12068 9/13/82 Lind E1ec l-5 00: : #12119 1 %10/83 Handsel Elec 28 75 =s (306) #38 6/15/$3 Interval Lnternatioral 47x:50 #232 7/6/84 Brody & Marder #237 7 1;/ 0/84 :Lysi;hger ' & W�.r,ick 20;00 #316 11/15/84 Biscayne Elect;; 155:00 #575 3/27/8.6 BRIMSON ELECTRIC .(HAIR UNLIMITED) 20.00 PLUMBING: #459 3/19/86 RICHARD'S PLUMBING. (HAIR UNLIMITED) 24.00 ELECTRIC: #606 4/28/86 WATTS ELECTRIC 20.00 i - -- - - ---, -- -� i j, Buildi.n9 .�#23422 7/1.2/8? 6iltmore 45 00,: #563 3_/-1.580._.,5weat -A/C - 15 . 0'0- #727 6/13/84 J. C . Williams Paving 20 . 00 ( 570) #756 6/28/84 Amco Const.: Corp . 37 . 50 ( 570) #759 6/29/84 Air & Heat Unlimited 20 . 00 PENTHOUSE)#1296 6/17/85 ' P.E.RADEMACHER 30.00 #1602 12/27/35 CAPITAL ROOFING 135.00 t . #1846 4/25/86 M.B.S. INTERIOR REMODELING. (401) 30.00 o . APPROVED I i By . '1'3 aY 7� r. (so•z/s,J T=t Z� aOY181� a f _ _ t i ir'.rr ' I+1? �lcvc t.cfi.�f io dsdica�.eu< f' r? - t e qj • - � }�`.1;; � �.xo k �351 aw S W6.G 2 T,�..•_c�,.�d $', � ' SioRwsEweanit. } rt Q,�j ti 2S1 rw S W 70 Sl- E! SEE.=ACh-M DE=-- ` is vat • y — - TY{ a.14 . _. - __ � - - 1 ISKIOG["AISOyE. -:. ,�R. 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TUeiE .5=- t >"T-°__• _ .-, 192 1 - i ; .414:6 ' � 7W_FL S. —� �• s - .. t 2'f- 7a8 ��+( 4Z77: 2413 Tt 5 FT' •-�— _j :o } i - -' T UOL7 i�^s r_'r,:uv- r ; t t f _Mts 9..sEz. t n. V F s ix _.__. _ — _ -�. -. • +_-o -1 •� - ter.-+-r_ _ _�-.- ! l S�GTtON 3 I. 1 q AZT�NTY1+hYE SG TEmu7* zF } ) �C.DLO• tJP.tit-b. L- jbe -._. K _.. 5ECT)0114 I S�GTiON 2' c - - — +— H.1. ROSS ASSOCIATES INC. ' �+ aai9o; nOFlrlG 3Uli.piNG TYP ICAL`Ja�7 y{N t_. 5=G Vrn6,aL•WEST WALL 5 6 1n".j-0' - t�•� -q.3 1�2to1:7- - EMGINEERS WALL 5E flit' 67�s � 'S^��.'C's �sgewL•1w_. revear�.i:..•-r•-±^RaayJUic-in�@IC _ s.afr+ieesv.r. �ksa Y1'2eX��:wM�A.s - 'k-r-- !+aM-r y<^ ... .x -$5:x.C. - - -_^ _ •'^+� Y 1 _ ... I • � _ .. f . - ... �� ':; — ^:.ate � e( - _. �: �- -.bol `� A • �� ! . �� tot - `, CO; I �_ �,� �t}•, lr ) D F .. G 2' to' - ' . 8 { 2h'-O" ' .8 g_'!^ '20�-0,. 2d.•O .' 2�,o„ �; a• _ i f i` PH ..E,-t O . 2 . CL ' _ �. es PM- u' f E x �y 1 0� 7 o+ — J c� t - A a � o "i f , 9 E - , is :t- at e: at. N l9 LU - xe A i OIL 0 ZPI let en 'Tit 'rop •4 , t t x r' 61' .45 - 4�8 = F Q �r n rI TCt � ELEVATOR N16CH P,OO;`rt NTHC> USE �f f 4t 1 if p m ((D n W ►t2 • o, a � o t7 fi 1 N• t rt U) O O (D o n v� a W F-A I TO ED 'TJ xJ (ncnrtcno H m n rn raoo �3' 0t-nay' v N o s; m C rn m rt . C H+ (D O(D (D t r ((D m a � maK \ m (n +-j O rt rt ::e O a w rt m m tij sr O F� K can \ \ t1i m (DD � � cn � rt 1p 1p Ul (£D rh f a o O rn o cn (D (D sr i m rt m ►i (n rt rt 0 H O rt � > H. F� m :3' cn \ 0 O rt its �• a m ✓� ' n m O rt .p rtY�.� I-h b rt a F� rt f-h F3' F'• F� m (D t�< F (n a O m rt z N F'• o O rt :� rh a w rat (D ¢' m co p w a m f3' rt (D Z rt W "lw a m rt n \ n o sZ to m fJ- .p rt o rt, rto0 �9 o • N• \ \ rt, N) � tb n cn # o [V LQ �' F3' F'. F-' W 110 W W o O F-A m rh F-' .sZ O rt W Fh th W H m R, (D [V ui rt rt O o O rt Fm-' ro (aD O rmt w ((D r FF- F� 0 rt O m � � N ~ o :' rh ui rt (D a FA 110 - _ 'C W # 1 CITY OF SOUTH MIAMI APPLICATION FOR PUBLIC HEARING BEFORE PLANNING BOARD (FILE IN DUPLICATE) THIS APPLICATION MUST BE COMPLETED AND RETURNEDI WITH ALL REQUIRED SUPPORTING DATA TO THE OFFICE OF THE ZONING DIRECTOR BEFORE PROCEEDINGS MAY BE STARTED FOR PUBLIC HEARING. - APPLICANT A (OWNER, TENANT. AGENTS ETC. SPECIFY) CALDWELL PLAZA BUILDING, LTD. Owner ADDRESS OF APPLICANT . CITY STATE ZIP PHONE 7000 S. W. 62 Avenue South Miami Florida 33143 667 6496 OWNER DATE OWNERSHIP OF'PROPERTY OBTAINED Same as owner 1971 ADDRESS OF OWNER CITY STATE ZIP PHONE Same as owner IS PROPERTY OPTION OR CONTRACT FOR PURCHASE? MORTGAGEE'S NAME AND ADDRESS YES xx NO IF APPLICANT IS NOT�OWNER, IS LETTER OF AUTHORITY FROM OWNER ATTACHED? YES NO LEGAL DESCRIPTION OF PROPERTY COVERED BY APPLICATION L OT(S) BLOCK SUBDIVISION - 'PB METES AND BOUNDS The East 149 feet of the North 115 feet of the East 1/2. of the South- east 1/4 of the Southeast of the Southwest 1 4 .of Section 25, Township 54 South range 40 East and the South 130 feet of the North 245 feet of the East 1/2. '6f. the Towilshtv 54 South, Range 40 East.All lying and being in Dade County, Florida. SIZE OF AREA COVERED BY APPLICATION NAMES AND OFFICIAL WIDTHS OF ABUTTING R/W'S Approx. 6000 sq. ft. S.W. 70 St. : 50' S.W. 62 Ave. : 70' ADDITIONAL DEDICATIONS PROPOSED STRUCTURES LOCATED ON PROPERTY Caldwell Plaza Office Building APPLICATION TO THE PLANNING BOARD FOR ACTION ON THE FOLLOWING: CHANGE OF ZONING EXCEPTION OTHER (SPECIFY) VARIANCE AMEND SECTION OF CODE X Special Use to ermit restaurant in CO zoning PRESENT ZONE CLASSIFICATION CHANGE OF ZONING REQUESTED CO USE DESIRED NOT PERMITTED BY EXISTING REGULATIONS Restaurant is permitted as special .use, but requires Council approval. Zoning Code 5-11-3 (.03) THE FOLLOWING SUPPORTING DATA REQUIRED IS SUBMITTED WITH THIS APPLICATION. (ATTACHED HERETO AND MADE - PART OF APPLICATION.) CERTIFIED SURVEY SITE PLAN PHOTOGRAPHS X STATEMENT OF REASONS OR CONDITIONS JUSTIFYING CHANGE REQUESTED - PROPOSED FLOOR PLAN HEARING FEE (CASH OR CHECK) X OTHER Complete set- of plans for restaurant THE UNDERSIGNED HAS READ THIS COMPLETED APPLICATION AND RE ENTS THE INFORMA ON AN ALL SUPPORTING DATA FURNISHED IS TRUE AND CORRECT TO TH T OF HIS KNOW GE AND BED. GEORGE A. BUCHN�AI� ATTORNEY AT LAW V 40 S.W.61st COURT SIGNATUR FOR OFFICE USE ONLY DATE OF HEARING HEARING NO. PS B 1 00-21 DATE FILED _z . REV. 4-21-69 0 _ ' - Ij O.00(n)ISO-G4`(M) � s ^4g ^g4 D" I ai0 p� - � maK N P X O z 3 ` Z f->1 C U) Z y Ag \ \ nm - 31- 5' 25 - ' Ilia N e m - i ° . c d O5< 25' 'Y5 ' - ti.:,, 2Ya.00aL)Y20.•Y(>T)° 6e'c c:'aibsu, -- . q mrZ.Hm.c°Re V. ° . 62nd AVENUE 54'ASPHALT PAVEMEIaT. A z v f >c° �c n a agg3^ v> +� WE o� _ m §gaga MO%T " ° -- •gY 69. I I c v Ir. -°= " - _ to P. n w .BISCAYNE ENGINEERING COMPANY , INC. Consulting Engineering. Planners Surveyors ww —i NODUL00.g0.Ow.TLCTURC ZwC. • VI ) Crwp1rv.l,s. T FORT IJW LLE ERD HEST P>I BEACH S- ""as � P.P. > CITY OF SOUTH MIAMI PLANNING BOARD NOTICE Of PUBLIC HEARING Hearing: #73-24 Date : September 11, 1973 Time : 7 :30 P. M. Applicant: Caldwell Plaza Building, Ltd. A Request: Special use to use restaurant in CO zoning. Legal Description: The East 149 feet of the North 115 feet of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 of Section 25, Township 54 South, Range 40 East and the South 130 feet of the North 245 feet of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 of Section 25, Township 54 South, Range 40 East. All lying and being in Dade County, Florida.. Location: 7000 S. W. 62 Avenue. PUBLIC HEARING WILL BE HELD IN THE COUNCIL CHAMBERS AT THE CITY HALL, 6130 SUNSET DRIVEO SOUTH MIAMI FLORIDA, AT THE TIME AND DATE STATED ABOVE. ALL INTERESTED PARTIES ARE URGED TO ATTEND. OBJECTIONS OR EXPRESSIONS OF APPROVAL MAY BE MADE IN PERSON AT THE HEARING OR FILED IN WRITING PRIOR TO OR AT THE HEARING. THE BOARD RESERVES THE RIGHT TO RECOMMEND TO THE CITY COUNCIL WHATEVER THE BOARD CONSIDERS IN THE BEST INTEREST FOR THE AREA INVOLVED. THE BOARD'S RECOMMENDATION ON THIS MATTER WILL BE HEARD BY THE CITY COUNCIL AT A FUTURE DATE. INTERESTED PARTIES REQUESTING INFORMATION ARE ASKED TO CONTACT THE OFFICE OF THE ZONING DIRECTOR BY CALLING 667-5691 OR BY WRITING. REFER TO HEARING NUMBER WHEN MAKING INQUIRY. JACQUES FLEISCHER, CHAIRMAN PLANNING BOARD P S B 100-7 THIS IS A COURTESY NOTICE - NOT REQUIRED BY LAW REV. 10-22-70 Y - l o 3 v N \ O ` ry v � o v v Cfj C� O 41 aA � M � v u v O £-S�y N M T V 0 N K a � CX v if,4 1 APPLICANT: 1 0.�c�W e LL PjCj fin. OWNER: (f Lz,,1WE« ?'! .L3v,LW,"j G TD Z MAP REFERENCE: Off i¢i4Z A<Z4.s %'.y 9 f /O Compass COMMENTS: J/ecI'a_Z ,use of CO obi,»9 scale. 1"!1 ?Q�. . . Date A-.2?-:7,3 �' Drn.T�. . .Chl�PE`- CITY 50UT4 AMAMI PLANNING BOARD .:Hearing No.73:eZ,q Location: 7000 S . W. 62 Avenue. Mr. George Buchma.nn, Attorney for Applicant, presented the request to the Board stating that the Caldwell Plaza Building has adequate parking to support the restaurant-which will be located on the first floor of the building and there would be no problem as to ingress or egress on 62nd Avenue. He further stated that the restaurant, which will be part of the Picadilly chain, will be a. first class restaurant with probably a cocktail lounge and that it was included in the original plans submitted to the Building Department when the Building Permit was taken for the building. Mrs . Patsy Masters of 6040 S . W. 86th Street, Reverand Stanley J. Stewart of 6912 S. W. 62 Court and Mr. Robert M. Volin of 5875 S . W. 74th Terrace presented some questions regarding the sufficiency of parking spaces and probable parking and traffic problems . Mr. Buchmann on rebuttal stated that there would be more than ample parking and that there would be no parking or traffic problems. MOTION: By Mr. Pierce, seconded by .Mr. Bowman, to recommend approval of the request for special use for the restaurant. MOTION: By Mr. Fleischer to amend the motion to recommend approval of the request with consideration given by the City Council to make an administrative study in the interim of the City Council meeting as to the extent the parking for the restaurant will effect the parking for the office building. Motion died for lack of a. second. VOTE IN FAVOR OF MOTION: Yes - (5) Bowman, Fleischer, Pendergrass, Pierce, Regan No - (0) Absent - (2) Bram, Coburn MOTION CARRIED. 9 Public Hearing ##73-25 The 5750 State Road 7 Co. r ` Request: Change of zoning from RO (Residential Office) . to4C-3 (Arterial Commercial) and variance to permit parking. .r. Legal Description: Lots 17 and 18, Block 2, Larkins Pines Subdivision Revised, PB 53/41. Location : 7540 S . W. 61st Avenue . 9/11/73 - Paae 2 ;k #73-24 EXCERPTS: from the Planning Board' s minutes of September 11, 1973, -on the request for special use to use restaurant in CO zoning. The East 149 feet of the North 115 feet of the East z of the Southeast 4 of the Southeast 4 of the Southwest 4 of Section 25, Township 54 South, Range 40 East and the South 130 feet of the North 245 feet of the East 2 of the Southeast 4 of the Southeast 4 of the Southwest 4 of Section 25, Township 54 South Range 40 East. Caldwell Plaza Building, Ltd. 7000 S. w. 62 Avenue. BO'ARD' S ACTION ON PUBLIC HEARING: Motion by Mr. Pierce, seconded by Mr. Bowman, to recommend approval of the request for special use for the restaurant. Polled: 5 - Yes 0 - No 2 - Absent l f 34 B yt RESOLUTION NO. 105-73-3105 A RESOLUTION� OF THE CITY OF SOUTH MIAMI , FLORIDA, SETTING A TIME AND PLACE FOR A PUBLIC HEARING FOR THE PURPOSE OF CONSIDERING APPLICATION OF COURTESY TRAVEL CORPORATION FOR CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY ALLOWING OPERATION OF TEN (10) TAXICABS . * Sen. . George Hollahan addressed the Council. * Moved by Mayor Block, seconded by Councilman Bramson that the date November 6, 1973 be inserted and that the Resolution be adopted and assigned the next number by the City Clerk. Motion carried by the following roll call : "Yeas" - Councilwomen Lantz and Willis, Councilman Bramson and Mayor Block. "Nays" - None . Councilman Gibson was absent. * The next . item No. 11, was a Resolution regarding certain described property in a "CO" . Commercial Office District, permitting a special use, to-wit : "tasting Establishment" . (Caldwell Plaza Building, Ltd. ) * The Resolution was presented, captioned as follows : RESOLUTION NO. 106-73-3106 A RESOLUTION OF THE CITY OF SOUTH MIAMI, FLORIDA, WITH REGARD TO CERTAIN DESCRIBED PROPERTY IN A "CO" COMMERCIAL OFFICE DISTRICT, PERMITTING A SPECIAL USE, TO-WIT "EATING ESTABLISHMENT" . * George Buchmann, Esq. addressed the Council. * Moved by Mayor Block, seconde �:i ::)y .Councilwoman Lantz that the Resolution be adopted and assigned, the next number by the City Clerk. Motion carried by the following roll call : "Yeas Councilwomen Lantz and Willis, Councilman Bramson and Mayor Block. Councilman Gibson was absent. -5- 10/2/73/cw ti STATEMENT OF; REASONS FOR GRANTING REQUEST This property was acquired for development as ,an office building for its present use in the latter part of 1971 at a time when it had just been rezoned from. 0-1 to C-0 . The original contract to purchase the property was entered into at the time the property was zoned C-1 and plans had already been drawn including those for the restaurant and expenses of development had already been incurred by the applicant. The, initial plans as filed with the Building Department and approved,.= provide -for the restaurant, and a permit for its construction was issued on January 10 , 1972. The- applicant. has parking facilities off-street in a park- ing garage to serve restaurant customers and there is adequate ingress and egress - to the parking facility so not as to create adverse traffic conditions . This is to be a quality restaurant and would be entirely. compatible with the proposed use in the neighborhood which Consists of office buildings and hospitals and similiar busi- nesses and. institutions . Also, it is readily accessible to the residential area of South Miami to provide South Miamians and nearby County residents .with a facility for taking dinner in the- evenings where they can -have adequate parking and accessi- bility. f RESOLUTION NO. 106-73-3106 'A RESOLUTION OF THE CITY OF SOUTH MIAMI, FLORIDA, WITH REGARD TO CERTAIN DESCRIBED PROPERTY IN A "CO" COMMERCIAL OFFICE DISTRICT, PERMITTING A SPECIAL USE, TO-WIT "EATING ESTABLISHMENT" . WHEREAS, the- Planning Board has recommended the granting of a special use hereinafter permitted with regard to the property hereinafter described. NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF SOUTH MIAMI, FLORIDA: Section 1. That the application of Caldwell Plaza Building, Ltd. , a Florida corporation, for a special use of "Eating Establishment" with regard to the property described as: The East 149 feet of the North 115 feet of the East 2 of the Southeast a of the Southeast 4 of the Southwest 4 of Section 25, Township 54 South, Range 40 East and the South . 130 feet of the North 245 feet of the East 2 of the Southeast 4 of the Southeast 4 of the Southwest 4 of Section 25, Township 54 South, Range 40 East. All lying and being in Dade County, Florida, ' a/k/a 7000 S. W. 62 Avenue., South Miami, Florida. be, and the same is hereby permitted. PASSED and ADOPTED this 2nd day of October, 1973. APPROVED.: j MAYOR Attest: Y A I City Clerk ` E r MINUTES OF A REGULAR MEETING PLANNING BOARD, CITY OF SOUTH MIAMI SEPTEMBER 11, 1973 APPROVED SEPTEMBER 25, 1973 The meeting wa.s. called to order by Chairman Fleischer at 7 :40 P. M. PRESENT: James Bowman Jacques Fleischer Warren Pendergrass Harvey Pierce Robert Regan ABSENT: Bernard Bram Edward Coburn Mr. Gilbert Russe, Building Inspector, was also present. The Invocation given by the Revera.nd Stanley J. Stewart of The House of Peace was followed by the Pledge of Allegiance to the Flag of the United States of America.. Chairman Fleischer stated that inasmuch as the members of the Planning Board had not received the draft of the Minutes of the Meeting of August 28, 1973 until that moment, the Minutes of said meeting would be considered after the Public Hearings . Public Hearing #73-24 Caldwell Plaza. Building, Ltd. Request: Special use to use restaurant in CO zoning. Legal Description: The East 149 feet of the North 115 feet of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 of Section 25, Township 54 South, Range 40 East and the South 130 feet of the North 245 feet of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 of Section 25, Township 54 South, Range 40 East. HEAUNSOUM 7000 S.W. 62nd Avenue F Miami,FL 33143 ,fr MEMORANDUM OCT 7 9 200 TO: Don O'Donniely City of South Miami FROM: Opal Laz DATE: October 18, 2 04 SUBJECT: PARKING SPACES AT 7000 BLDG. - 7000 S.W. 62ND AVENUE The square footage of the above building is 106,000 sq. ft. There is a parking garage adjacent to the building with over 300 parking spaces with 16 handicapped spaces. Also, a parking lot adjacent to the parking garage consists of 53 parking spaces and five handicapped the street next to the building'(701h street) there are 5 parking meters. spaces. On If you have any questions,please call me. Thank you. i hsmemo.dot 10/18/04 III. Public HearinC: PB-94-018 ale Applicant: HEALTHSOUTH CORPORATION Request: Application for Special Parking Permit to allow an off- site parking lot to be located on property in the RO (Residential Office) district, as provided for under Section 20-4.4• (F) (2) (a) of the City's Land Development Code. Location: 7000 S.W. 62 Avenue; South Miami , Florida 33143. (A. commercial property) Ms. Thorner read the request. Staff recommended approval of the application. Public hearing was opened. Mr. Christopher Cooke-Yarborough, architect, spoke before the Board. Mr. Cooke-Yarborough stated his concern about the close placement and compacted base of impervious asphalt to the existing trees located on the premises. He stated that it is important the City examine the adverse impact of such placement and base on the remaining trees by incorporating viable alternatives, such as pervious asphalt, into consideration of the application. He further stated his " concern regarding the possible erection of a six foot chain-link fence which is out of character with the appearance of . a residential neighborhood. Mr. Jeff Lane, who signed in as the representative for HealthSouth, spoke before the Board, - stating that the applicant had taken special efforts to save many of the existing trees and would consider modifying, i.e. , reducing the height of and adding additional hedges to, any chain-link fence prior to its erection on the property. Mr. Christopher Cooke-Yarborough responded by asking the applicant, in modifying plans to the fence, to consider: 1) Erecting the chain-link fence two feet behind the property line,' and 2) Planting a hedge in front of the chain-link fence. Mr. David Tucker Sr. , 6556 SW 78 Terrace, asked that the applicant consider Mr. Cooke-Yarborough's suggestions regarding the erection of any chain-link fence on the subject property. Mr. Bill Mackey, City Planner, read a letter from Ms. Linda Tobin into the record, which contained four areas of primary concern regarding the parking lot: 1) The impact upon property values in surrounding neighborhoods; 2) The impact upon the quality of life in surrounding neighborhoods; 3) The physical "look" and operating hours; 4) The consideration of citizens' rights and concerns in surrounding areas. PB Min 12/13/94 1 r 1 ,Public hearing was closed and executive session was convened.. Mr. Basu stated the Board's concern that trees on the property be saved. Mr. Lane responded that the applicant was saving as many trees as possible. Mr. Basu further stated that irrigation of landscaping be considered and included by the applicant. Mr. Lefley inquired about the possibility of using porous asphalt for the parking lot. Mr. Lane stated that while the technology for porous asphalt exists, it is generally not utilized in the State of Florida. In response to Mr. Lefley's question regarding the placement of the fence two feet behind the property line, Mr. Lane explained that they would not object to doing so and that they would consider placing shrubbery in front of the fence, thereby enhancing the aesthetics of the property. Motion: Mr. Lefley moved to approve the application, based on the following conditions: 1) That every effort be made to provide irrigation and to utilize porous asphalt; 2) That the chain-link fence be erected two feet behind the property line, to include the planting of shrubbery on the outside edge of the fence; 3) That any extremely hazardous parking spaces be either re-configured or eliminated upon final . approval. Mr. Basu seconded the motion, to include two additional conditions 1) that the chain-link fence be vinyl coated, black in color, and 2) that the said fence be limited to four feet in height. Vote on motion, inclusive of five conditions: Approved: 6 Disapproved.: 0 At the close of the vote, the Board recessed for four minutes at 8:30 PM., (Mr. Lefley returned at 8: 35. ) PB Min 12/13/94 2 CITY OF SOUTH MIAMI © INTER-OFFICE MEMORANDUM i To: Mayor & City Commission Date: January 13, 1995 i From: Eddie Cox Re: 01/17/95 City Commission Agenda City Manager Item # : HEALTHSOUTH Pkg Lot Background: The applicant desires to improve a vacant parcel located adjacent to 7000 S.W. 62 Avenue (an existing office building and parking garage). The applicant desires to construct a parking lot for the employees of the offices in the 7000 building. The subject property at 6210 S.W. 70 Street is vacant due to destruction by Hurricane Andrew of the day care center previously on this site. The applicant has taken various measures to provide for the screening, buffering and landscaping of the property to decrease any disturbance to adjacent residents that the project might cause. The BZCD staff memoranda detail these provisions and set forth the basis for a recommendation of approval. Planning Board recommended approval with five specific conditions (see below). The Resolution presented to the City Commission includes these five conditions and two additional conditions which require recording of the official agreements approved by this action. Recommendation: Approval, subject to conditions. 1,. Advantage_to Cif: Improves the use of currently vacant land. 2. Disadvantage to City: No disadvantage is foreseeable. 3. This .Resolution is pursuant to § 20-4.4 (F)(2)(a), § 20-3.4 (13)(15) and § 20-3.6 (0) of the Land Development Code. 4. The Planning Board voted 6-0 to recommend approval with the following conditions: (1) That every effort be made to provide irrigation and to utilize porous asphalt; (2) That the chain-link fence be erected two feet behind the property line, to include the planting of shrubbery on the outside edge of the fence; (3) That any extremely hazardous parking spaces be either re-configured or eliminated upon final approval; (4) That the chain-link fence be vinyl coated, black in color; and, (5) That the said fence be limited to four feet in height. 5. BZCD staff recommended approval as set forth in the attached memoranda. 1 RESOLUTION NO. 2 A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE 3 CITY OF SOUTH MIAMI, FLORIDA GRANTING A.SPECIAL PARKING 4 PERMIT PURSUANT TO SECTION 20-4.4 (F)(2)(a) OF THE LAND 5 DEVELOPMENT CODE TO ALLOW AN OFF-SITE PARKING LOT TO 6 . BE LOCATED ON PROPERTY IN THE RO (RESIDENTIAL OFFICE) 7 DISTRICT, AND SPECIFICALLY LOCATED AT 7000 S.W. 62 AVENUE, 8 SOUTH MIAMI, FL, 33143, AND PROVIDING A LEGAL DESCRIPTION. 9 WHEREAS, HealthSouth Corporation made application for a Special Parking Permit 10 to allow an off-site parking lot to be located on property in the RO (Residential Office) it district, as provided for under Section 20-4.4 (17)(2)(a) of the Land Development Code. 12 WHEREAS, the property is located at 6210 S.W. 70 Street, South Miami, Florida, 13 33143, and is legally described as follows: 14 The North 115.00 feet of the East 1h of the Southeast-'/a of the Southeast '/a of the Southwest 15 1/a less the East 149.00 feet and the East 137.00 feet of the North 150.00 feet of the West 1/2 16 of the Southeast '/a of the Southeast 1/4 of the Southwest '/a, less the West 54.00 feet of the 17 North 88.00 feet all lying and being in Section 25, Township 54 South; Range 40 East, Dade 18 County, Florida, subject to a dedication of the North 25 feet for road purposes; and, 19 WHEREAS, upon approval this property is considered to be part of the property 20 located at 7000 S.W. 62 Avenue via recorded unity of title; and, 21 WHEREAS, the Building, Zoning & Community Development Department staff # 22 recommend approval of the application upon evaluating the application for (a) consistency 23 with the Comprehensive Plan and (b) compliance with the requirements contained in Sections 24 20-4.4 (17)(2)(a), 20-3.4 (B)(15) and 20-3.6 (0) of the Land Development Code; and, 25 WHEREAS, on December 13, 1994, the Planning Board voted to recommend 26 approval of the application (6-0) with the following conditions: 27 (1) That every effort be made to provide irrigation and to utilize porous asphalt; 28 (2) That the chain-link fence be erected two feet behind the property line, to 29 include the planting of shrubbery on the outside edge of the fence; 30 (3) That any extremely hazardous parking spaces be either re-configured.or 31 eliminated upon final approval; 32 (4) That the chain-link fence be vinyl coated, black in color; 33 (5) That the said fence be limited to four feet in height; and, 34 WHEREAS, the Mayor and City Commission accept the recommendation of the 35 Planning Board. HealthSouth Parking Permit Resolution Page # 1 I NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY 2 COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA: 3 SECTION 1 The application by HealthSouth Corporation for a Special Parking Permit to 4 allow an off-site parking lot to.be located on property in the RO (Residential Office)district, 5 as provided for under § 20-4.4 (F)(2)(a) of the Land Development Code is hereby granted 6 with the following conditions: 7 (1) That every effort be made to provide irrigation and to utilize porous asphalt; 8 (2) That the chain-link fence be erected two feet behind the property line, to 9 include the planting of shrubbery on the outside edge of the fence; 10 (3) That any extremely hazardous parking spaces be either re-configured or 11 eliminated upon final approval; 12 (4) That the chain-link fence be vinyl coated, black in color; 13 (5) That the said fence be limited to four feet in height; 14 (6) That the applicant record a unity of title in the public records of Dade County 15 to join this property with the property located at 7000 S.W. 62 Avenue; and, 16 (7) That the applicant record a signed copy of the "Declarations of Restrictions" 17 prepared by BZCD staff (EXHIBIT A) in the public records of Dade County. r 18 PASSED AND ADOPTED THIS Ir DAY OF JANUARY, 1995. 19 20 21 ATTEST: Neil Carver, Mayor 22 23 Rosemary J. Wascura, City Clerk 24 READ AND APPROVED AS TO FORM: ?5 6 Earl G. Gallop, City Attorney c:\planning\report.0l8 HealthSouth Parking Permit Resolution Page # 2 EXHIBIT A , DECLARATION OF RESTRICTIONS KNOW ALL BY THESE PRESENTS that the undersigned, Owner(s) of the following described Property (the 'Property"), lying,being situated in the City of South Miami, Dade County,Florida, to-wit: The North 115.00 feet of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 less the east 149.00 feet and the east 137.00 feet of the North 150.00 feet of the West 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4, less the West 54.00 feet of the North 88.00 feet all lying and being in Section 25, Township 54 South, Range 40 East, Dade County, Florida, subject to a dedication of the North 25 feet for road purposes. IN ORDER TO ASSURE the City of South Miami, Florida, that the representations made to them by the Owner during consideration of a special use permit, the property will be abided by the Owner,freely,voluntarily and without duress makes the following Declaration of Restrictions covering and running with the property: (1) That said property shall be developed substantially in accordance with the spirit and intent of the plans previously submitted,prepared by Consulting Engineering and Science, INC., dated the 15 day of APRIL 1994 said plan being on file with the City of South Miami Building and Zoning Department, and by reference made a part of this agreement. (2) The Property Owner(s) must comply with the architectural and landscaping plans offered as part of this covenant. (3) Perpetual maintenance of landscaping as shown on the landscaping plans submitted with this Declaration of Restrictions must be maintained by the Owner(s). Ins ec ion. As further part of this agreement it is hereby understood and agreed that any official inspector of the City of South Miami Building and Zoning and Community Development Department, or its agents duly authorized, may have the privilege at any time during normal working hours of entering and inspecting the use of the premises to determine whether or not the requirements of the building and zoning regulations and the conditions herein.agreed to are being complied with. Covenant Running with the Land. The Declaration on the part of the Owner shall constitute a covenant running with the land and will be recorded in the public records of Dade County, Florida and shall remain in full force and effect and be binding upon the undersigned Owner, and their heirs, successors and assigns until such time as the same is modified or released. These restrictions during their lifetime shall be for the benefit of, and limitation upon, all present and future owners of the real property and for the public welfare. Term. This Declaration is to run with the land and shall be binding on all parties and all persons claiming under it for a period of thirty (30) years from the date of this Declaration is recorded after which time it shall be extended automatically for 's Declaration of Restrictions Page Two successive periods of ten years each, unless an instrument signed by the majority of the, then, owner(s) of the Property has been recorded agreeing to change the covenant in whole, or in part, provided that the Declaration has first been modified or released by the City of South Miami. Modification, Amendment, Release. This Declaration of Restrictions may be { modified, amended or released as to the land herein described, or any portion thereof, by a written instrument executed by the, then, owner or a majority of the owners of all of the Property provided that the same is also approved by the Director of the Building and Zoning Department of the City of South Miami. Should this Declaration of Restrictions be so modified, amended or released, the Director of the City of South Miami Building and Zoning Department, or the executive officer of the successor of such Department, or in the absence of such director or executive officer by his assistant in charge of the office in his absence, shall forthwith execute a written instrument effectuating and acknowledging such modification, amendment or release. Enforcement. Enforcement shall be by action against any parties or person violating, or attempting to violate, any covenants. The prevailing party in any action or suit, pertaining to or arising out of this declaration, shall be entitled to recover, in addition to costs and disbursements allowed by law, such sum as the Court may adjudge to be reasonable for the services of his attorney. This enforcement provision shall be in addition to any other remedies available at law or in equity or both. Authorization for Building and Zoning Department to Withhold Permits and Inspections. In the event payments or improvements are not made in accordance with the terms of this declaration, in addition to any other remedies available, the City of South Miami Building and Zoning Department is hereby authorized to withhold any further permits, and refuse to make any inspections or grant any approvals, until such time as this declaration is complied with. i t Election of Remedies. All rights, remedies granted herein shall be deemed to be cumulative and the exercise of any one or more shall neither be deemed to constitute an election of remedies, nor shall it preclude the party exercising the same from exercising such other additional rights, remedies or privileges. Presumption of Compliance. Where construction has occurred on the Property or any portion thereof, pursuant to a lawful permit issued by the City, and inspections made and approval of occupancy given by the City, then such construction, inspections and approval shall create a rebuttable presumption that the buildings or structures thus constructed comply with the intent and the spirit of this Declaration. Declaration of Restrictions Page Three Severabilit v Invalidation of any one of these covenants, by judgement or Co way shall affect any of the.other provisions which shall remain in full force and effect. Rec°°—tea. This Declaration shall be filed of record in the ublic County, Florida at the cost of the Owner follow in t p records of Dade the Director of the City of South Miami Buildin g he and of the Application by g d Zoning Department. IN WITNESS of Restrictions toIthe�daOFa the PAY agrees to abide by all terms and accepts year first written above. P s the Declaration Witness: PROPERTY OWNER 6210 S.W. 70 Street Witness: HEALTHSOUTH CORPORATION City of South Miami Director of Building and Zoning and Community Development Dean L. Mimms, AICP c:WoRMSM^LTHSO.cov ;e CITY OF SOUTH MIAMI INTER-OFFICE MEMORANDUM To: Dean Minims, AICP Date: December 9, 1994 Director of BZCD Dept From: Bill Mackey Planner Re: PB-94-018: HEALTHSOUTH / ? Special Parking Permit for RO REQUEST* Applicant: HEALTHSOUTH CORPORATION Request: Application for Special Parking Permit to allow an off-site parking lot to be located on property in the RO (Residential Office) district, as provided for under Section 20-4.4 (F)(2)(a) of the City's Land Development Code. Location: 7000 S.W. 62 Avenue; South Miami, Florida 33143 (A commercial property). BACKGROUND & ANALYSIS- The applicant originally applied under Section 20-3.4 (B)(15) [Attachment 11 for approval of a Special Use Permit (See attached memorandum by Brian T. Soltz). The item was deferred at e September 27, 1994 Planning Board Meeting due to the lack of a completed submission by the applicant at that time. s On September 27, 1994, the Planning Board did review an item to amend the parking provisions of the Land Development Code. On' November 1, 1994, the City Commission adopted these amendments, creating alternate approval avenues for parking in the City. One of these is contained in the revised provisions of Section 20-4.4 (F)(2)(a) [Attachment 21 which requires a special use proceeding in order for off-site parking to be approved on RO zoned properties. The applicant's original submission is satisfactory to meet with the previous requirements under Section 20-3.4 (B)(15) with the following provisos: 1. That the term "residential" in the first paragraph of sub-section (15) refers to single-family residential only; 2. That sub-section (15)(c) is not applicable to existing structures; and, 3• That a second-level is not required to be built under these provisions, despite the use of the term "parking structure,� within the provisions. The Planning Board may vote to recommend the approval of this application by Commission on the basis that the Planning Board does find that the application does meet the requirements of Section 20-3.4 (13)(15)(a) through (k). In addition, the Land Development Code contains provisions for all RO zoned properties which are contained under Section 20-3.6 (0) [Attachment 3]. 'f The applicant's original submission is satisfactory to meet with the previous requirements under Section 20-3.6 (0) with the following provisos: 1. That the dedicated right-of-way of 50 feet suffices to relieve the applicant of the requirements set forth in sub-section (1); 2. That the term "wall" in sub-section (3) [underlined in Attachment 31 does specifically refer to solid walls, that this provision does not provide a four foot height limit for chain link fences, and that, therefore, such height limit is not applicable to this application (which contains a six-foot high fence); and, 3. That Quercus virginiana is on the Commission approved City Tree List [Attachment 41 and is therefore a valid tree species substitution, as provided for in the second footnote under sub-section (5). The Planning Board may vote to I recommend the approval of this application by the City Commission on the basis that the Planning Board does find that the application does meet the requirements of Section 20-3.6 (0)(1) through (5). As a result of the adoption of the revised Section 20-4.4 (F)(2)(a), advertising for this item was changed to include the application under this revised portion of the Land Development Code, in order to avoid conflicts as to the applicability and supersedence of the newly adopted legislation. Staff is confident that: 1. The application is advertised properly; 2. The application may be approved under Section 20-4.4 (F)(2)(a); and, 3. The application does comply with Sections 20-3.4 (B)(15) and Section 3.6 (0). RECOMMENDATION Staff recommends that the Planning Board vote to recommend approval of this application under the provisions set forth in Section 20-4.4 (F)(2)(a). COMPREHENSIVE PLAN• The proposal is consistent with the Goals, Objectives and Policies of the Comprehensive Plan. APPLICABLE RE ULATIONS: Section 20-4.4 (F)(2)(a), Section 20-3.4 (B)(15) & Section 20-3.6 (0) of the Land Development Code. CITY OF SOUTH MIAMI PLANNING BOARD NOTICE OF PUBLIC HEARING Hearing: #73-24 Date : September 11, 1973 Time: 7:30 P. M. Applicant: Caldwell Plaza Building, Ltd. Request: Special use to use restaurant in CO zoning. Legal Description: The East 149 feet of the North 115 feet of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 of Section 25, Township 54 'South, Range 40 East and the South 130 feet of the North 245 feet of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the Southwest 1/4 of Section 25, Township 54 South, Range 40 East. All lying and being in Dade County, Florida.. Location: 7000 S. W. 62 Avenue . PUBLIC HEARING WILL BE HELD IN THE COUNCIL CHAMBERS AT THE CITY HALL, 6130 SUNSET DRIVE, SOUTH MIAMI, FLORIDA, AT THE TIME AND DATE STATED ABOVE, ALL INTERESTED PARTIES ARE URGED TO ATTEND. OBJECTIONS OR EXPRESSIONS OF APPROVAL MAY BE MADE IN PERSON AT THE HEARING OR FILED IN WRITING PRIOR TO OR AT THE HEARING. THE BOARD RESERVES THE RIGHT TO RECOMMEND TO THE CITY COUNCIL'WHATEVER THE BOARD CONSIDERS IN THE BEST INTEREST FOR THE AREA INVOLVED. THE BOARDIS RECOMMENDATION ON THIS MATTER WILL BE HEARD BY THE CITY COUNCIL AT A FUTURE DATE. INTERESTED PARTIES REQUESTING INFORMATION ARE ASKED TO CONTACT THE OFFICE OF THE ZONING DIRECTOR BY CALLING 667-5641 OR BY WRITING. REFER TO HEARING NUMBER WHEN MAKING INQUIRY. JACQUES FLEISCHER, CHAIRMAN PLANNING BOARD PS B 100-7 THIS IS A COURTESY NOTICE - NOT REQUIRED BY LAW REV. 10-22-70 Location: 7000 S . W. 62 Avenue. Mr. George Buchma.nn, Attorney for Applicant, presented the request to the Board stating that the Caldwell Plaza Building has adequate parking to support the restaurant which will be located on the first floor of the building and there would be no problem as to ingress or egress on 62nd Avenue. He further stated that the restaurant, which will be part of the Picadilly chain, will be a. first class restaurant with probably a cocktail lounge and that it was included in the original plans submitted to the Building Department when the Building Permit was taken for the building. Mrs . Patsy Masters of 6040 S . W. 86th Street, Reverand Stanley J. Stewart of 6912 S. W. 62 Court and Mr. Robert M. Volin of 5875 S . W. 74th Terrace presented some questions regarding the sufficiency of parking spaces and probable parking and traffic problems . Mr. Buchmann on rebuttal stated that there would be more than ample parking and that there would be no parking or traffic problems. MOTION: By Mr. Pierce, seconded by .Mr. Bowman, to recommend approval of the request for special use for the restaurant. MOTION: By Mr. Fleischer to amend the motion to recommend approval of the request with consideration given by the City Council to make an administrative study in the interim of the City Council meeting as to the extent the parking for the restaurant will effect the parking for the office building. Motion died for lack of a. second. VOTE IN FAVOR OF MOTION: Yes - (5) Bowman, Fleischer, Pendergrass, Pierce, Regan No - (0) Absent - (2) Bram, Coburn MOTION CARRIED. Public Hearing ##73-25 The 5750 State Road 7 Co. Request:. Change of zoning from RO (Residential Office) to C-3 (Arterial Commercial) and variance to permit parking. Legal Description: Lots 17 and 18, Block 2, Larkins Pines Subdivision Revised, PB 53/41. Location: 7540 S . W. 61st Avenue . C) /7'� STATEMENT 'OF REASONS FOR z GRANTING REQUEST This .property was' acquired for development as an office building for its present use in the latter part of 1971 at a time when it had just been rezoned from C-1 to C-0 . The original contract to purchase the property was entered into at the time the property was zoned C-1 and plans had already been drawn including those for the restaurant and expenses of development had already been incurred by the applicant. .. The initial plans as filed with the Building Department and approved,_ provide _for the restaurant; and a permit for its construction was issued on January 10 , 1972. The applicant has parking facilities off-street in a park- ing garage to serve restaurant customers and there is adequate ingress and egress to the parking facility so not as to create adverse traffic conditions . This is. to be a quality restaurant and would be entirely, .compatible with the proposed use in the neighborhood which consists of office buildings and hospitals and similiar busi- nesses and. institutions . Also, it is readily accessible to the residential area of South Miami to provide South Miamians and nearby .County residents with a facility for taking dinner in the- evenings where they canhave adequate parking and accessi- bility. MiaiRi-Dade My Home Page 1 of 2 My Home K MIAMI•DADE Show Me: Property Information . u y L n Search By: property Select Item 7ge 89TH Boundary Selected Property 0 Text only 4e Property Appraiser Tax Estimator 4 ;+ .0%1 Street S :PdTH ST'°!'� Highway, �+ Property Appraiser Tax �,rg�e'ia. ' Comparison ' *` "�` -i { 4 �• r Miami-Dade County Water Summary Details:t+ Folio No.: 09-4025-000-0590 H� � �i � _�'"`9 j Property: 7009 SW 62 CT z cn`. ,~' Mailing HR ACQUISITION I A`—'� Address: CORPORATION �y E C/O HEALTHCARE REALTY { " fit- 1 - rn TRUST INC _ �; 3310 WEST END AVE STE �"" S ^"[ �? � f� � t0. 700 NASHVILLE TN 37203- €r� "g ' [ Property Information: L Prima Zone: 4800 OFFICE ? CLUC: 0081 VACANT LAND y+�s" �" r?�,a�0 -"` SP.' 2ND—S,"° n SUNSE, UK Beds/Baths: 0/0 Floors: 0 Living Units: 0 �lF i "" ., .. Ja✓ I� �' d'Sq Footage: 0 Lot Size: 136,879 SQ FT 0 130 ft ear Built: 0 Aerial Photography-2009 25 54 40.85 ACN115FT OF E11/2 OF SE1/4 OF SEt/4 OF SW1/4 LESS Legal E1FT& OF Description: N15050FT OF F W t SE1/4 OF SE1/4 1/2 1l4 OF F SW1/4 LESS W54FT OF N88FT LOT SIZE IRREGULAR I Au—D � © �- Assessment Information: Year: 1 2010 1 2009 Land Value: 1$1,659,5551$1,843,9501 /Ly n Building Value: $0 $0 Market Value: $1,659,551$1,843,950 Assessed Value: 1$1,659,5551$1.784.943 - f Taxable Value Information: Year: 2010 2009 Applied Applied Taxing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $0/ $0/ $1,659,555 $1,784,943 County: $0/ $0/ $1,659,555 $1,784,943 City: $0/ $0/ $1,659,555 $1,784,943 School Board: $0/ $0/ $1,659,555 $1,843,950 Sale Information: Sale Date: 6/2009 Sale Amount: $1,500,000 Sale O/R: 26893-4081 , Sales Sales not exposed to the Qualification open -market np.snrintinn• http://gisims2.miamidade.gov/myhome/propmap.asp 3/29/2011 Miami-Dade My Home Page 2 of 2 View Additional Sales Additional Information: Click here to see more information for this roert : Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary oning Non-Ad Valorem Assessments J http://gisims2.miamidade.gov/myhome/propmap.asp 3/29/2011 634 6300 4p ul I 6330 MAI 6321 1 300 6r0', k- r F. 6341 1 GSM 52'1 'T DR TO M 6,456 f_6_461_ 61—WO f 64 S 0- 01 co 6400 T 6400 i L I , ' . 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