7031 SW 62 AVE EB-95-095-000 I ,
CITY OF SOUTH MIAMI
f f t13ryF�E^ FFF.. - BUILDING AND ZONING
ENVIRONMENTAL REVIEW AND PRESERVATION BOARD APPLICATION
STREET ADDRESS OF JOB: 7031 S.W. 62nd Avenue SOUTH MIAMI,FL
Doctors ' Hospital of. South Miami
PROPERTY OWNER: d/b/a Larkin General Hospital TEL NO. ( 305) 284-7500
ADDRESS: 7031 S.W. 62nd Avenue South Miami . Florida--_33143
STREET CITY STATE ZIP
WHAT IS THE PRESENT USE OF THE PROPERTY?
SINGLE-FAMILY RESIDENCE BUSINESS OFFICE RETAIL STORE OTHER:
Hospital
APARTMENT OR TOWNHOUSE MEDICAL OFFICE AUTO REPAIR
PLEASE, BRIEFLY SUMMARIZE THE WORK TO BE PERFORMED:
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Pressure Clean and Repaint Exterior of Entire Building
WHAT WILL THE TOTAL COST BE TO COMPLETE THIS PROJECT? $ 89 ,782
APPLICANT'S NAME: Rollie M. Dudik, Ph.D. TEL NO. ( 305) 284-7611
ADDRESS: 7031 S.W. 62nd Avenue South Miami Florida 33143
STREET CITY STATE ZB
AS THE APPLICANT, PLEASE,INDICATE YOUR RELATIONSHIP TO THIS PROJECT
OWNER OF THE PROPERTY TENANT/LESSEE CONTRACTOR OTHER:
Manager of Busines
OWNER OF THE BUSINESS ARCHITECT ENGINEER
PLEASE, INDICATE CONTACT PERSON (ERPB's decision will be mailed to the contact person indicated below):
PROPERTY OWNER
x APPLICANT .
OTHER(provide name and address)
11/13/95
PLEASE SIGN YOUR NAME ON THE LINE ABOVE DATE
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SUBMIT ONLY ONE
(15.JSet of clear, color photographs of the entire building site or development containing the project AND
the adjacent properties on each side of the property (see below)
INTERIOR LOT
STREET STREET
NEIGHBORING NEIGHBORING
PROPERTY --PROPERTY y PROPERTY
NEIGHBORING NEIGHBORING NEIGHBORING
PROPERTY PROPERTY PROPERTY
q CORNER LOT
a
STREET EM
NEIGHBORING
PROPERTYt�(a. 75R.
NEIGHBORING NEIGHBORING
PROPERTY PROPERTY
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16. Finished model at a scale not less than of 1" = 20'; all preliminary applications must include a block-out, study model
(for nonresidential development of 5000 sq ft or more)
Cl-7.'j COMPLETED ERP13 APPLICATION AND APPLICATION FEE (see other side: ERP13 Application form)
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CITY OF SOUTH MIAMI
aBuilding,Zoning and Community Development
Revenue
Code Classification Amount
322100 Permits
341910 Reinspection Fees
321100 Occupational.License - Renewal
321200 Occupational License - New
329100 Penalties on Occupational License
341930 Certificates of Use/Occupancy
341940 Code Enforcement Fines
322200 County Code Cbmpliance Fee
341900 State Radon Fee
341.200 Planning Division and Public Hearing Fee
341300C ERP/Dumpster/Temporary Sign/Tree Permits ✓
341400 Microfilm
369920 Miscellaneous: Maps, Copies, etc.
Date: ✓ TOTAL $ �'
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