CITY OF MIAMI SPRINGS
BUILDING AND CODE COMPLIANCE DEPARTMENT
CHECKLIST OF ATTACHMENTS
201 Westward Drive, Miami Springs, Florida 33166 | T: 305.805.5030 | F: 305.805.5036 | www.miamisprings-fl.gov
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CHECKLIST OF ATTACHMENTS
The following is a checklist of attachments which your Application may need to have to be processed. Please attach the
required documentation to the Application.
Check made out to the “City of Miami Springs” in the amount of $125.00 for the required Electrical Inspection
Fire Inspection Report, Call (786) 331-4800 for an inspection.
D.E.R.M Approval
Coin Operated Machine Application required
Copy of proof of additional waste pick-up for any type of medical offices
Copy of corporate documents showing the Federal Identification Number
Copy of Lease Agreement, Bill of Sale or Warranty Deed
Copy of State License (Department of Business and Professional Regulation) of applicant
Copy of Driver’s License of applicant
Sketch of home indicating which room is used as the “Home Office”
Articles of Incorporation
Annual Corporate Report
Health inspection is required of any establishment preparing/selling food
A sign permit is required for a new sign, alteration or change of copy on an existing sign
201 Westward Drive, Miami Springs, Florida 33166 | T: 305.805.5030 | F: 305.805.5036 | www.miamisprings-fl.gov
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CITY OF MIAMI SPRINGS
BUILDING AND CODE COMPLIANCE DEPARTMENT
LOCAL BUSINESS TAX RECEIPT APPLICATION
APPLICATION
_____________________________________________________
Name of Business
_________________________________________________
Name of Owner
_____________________________________________________
DBA
_________________________________________________
F.E.I. Number
Select one of the following:
New Business
Transfer
Add New Professional to Existing Business
Select the legal form of your business:
Sole Proprietorship
Partnership
Corporation
___________________________________
Business Address
_______________
Suite No.
_________________________
Business Telephone
______________________
Business Fax
_________________
City
_______________
State
_______________
Zip Code
__________________________________________________
Business E-Mail
___________________________________
Mailing Address
_______________
Suite No.
__________________________________________________
Emergency Contact
_________________
City
_______________
State
_______________
Zip Code
__________________________________________________
Emergency Contact Telephone
Please indicate what products will be sold or what services rendered: _________________________________________________
__________________________________________________________________________________________________________
GENERAL INFORMATION
Instructions: Please complete the appropriate response to each question.
1. What is the gross floor area of the business facility?
Please provide a copy of your lease agreement to verify square footage.
_________________
square feet
2. What is the number of employees including owners and management?
_________________
employees
3. What is the number of coin operated machines at the location?
(i.e. soda, washer, drier, cigarette, etc.)
Please provide a completed application for coin operated machines.
_________________
machines
4. If the business is an eating establishment, what is the number of seats?
_________________
seats
5. What is the number of units?
_________________
units
GENERAL QUESTIONS
1. Will this business be joining an existing office?
Yes
No
2. Will this business be operated from home?
If Yes, provide a completed Home Business Tax Receipt affidavit.
Yes
No
3. Will this business require a state license?
If Yes, provide a copy of the state license.
Yes
No
4. Will you be performing any work or alterations to your location?
If Yes, describe the work. _______________________________________________________________________
Yes
No
5. Would you describe this business a “Not-For-Profit” Organization?
If Yes, provide a copy of Not-For-Profit documentation.
Yes
No
6. Will you be changing or adding a new sign to building?
If Yes, you should apply for a building permit.
Yes
No
201 Westward Drive, Miami Springs, Florida 33166 | T: 305.805.5030 | F: 305.805.5036 | www.miamisprings-fl.gov
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AFFIDAVIT
I affirm that all information that I have provided is true and correct. I further acknowledge that I will be subject to all
penalties prescribed by law for providing any false information to the City. I understand that the City will issue this
license only after proper review of my application and any investigation deemed necessary, and only after payment of
the appropriate license fee. I also understand that issuance of a license does not release me from responsibility for
making any other improvements that may be required in conjunction with any City, County, State or Federal laws
applicable to my business or premises. I hereby acknowledge that issuance of an occupational license does not legalize
any improper existing or proposed non-conforming uses of the location, nor does it legalize the nature of the business
being conducted if contrary to any local, State or Federal laws.
_____________________________________________________
______________________________
__________________
Authorized Signature
Title
Date
State of
___________________
County of
___________________
SWORN TO AND SUBSCRIBED before me this
_______________ day of ________________________, 20 _________, _______________________________________________
Who: ________ is personally known to me OR has produced _________________________________________ as identification
and who executed the foregoing instrument freely and voluntarily for the purposes therein expressed.
_________________________________________
Notary Public, State of Florida, At Large
Notary Printed Name
My commission expires:
_________________________________________
Notary Signature
FOR OFFICE USE ONLY DO NOT COMPLETE BELOW
Approved by
Date
Rejected By
Date
Fire
D.E.R.M
BTR
Official
ZONING REVIEW
Type of Zoning
__________________________________________________________________________________________
Type of Business
__________________________________________________________________________________________
1. Type of Business Allowed
Yes
No
Not Applicable
2. Required Parking Available?
Yes
No
Not Applicable
3. Alcoholic Beverage License Needed?
Yes
No
Not Applicable
4. Business Cleared for Business Tax Receipt?
Yes
No
Not Applicable
Needed requirements to qualify for Business Tax Receipt, or reason for denial: __________________________________________
__________________________________________________________________________________________________________
_________________________________________
_____________________
City Planner Signature
Date
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