Fillable Copy of Miami-Dade County Approval of Municipal Application (Town of Cutler Bay)

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Copy of Miami-Dade County Approval of Municipal Application (Town of Cutler Bay)

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TOWN OF CUTLER BAY
Department of Community Development
Planning and Zoning Division
(305) 234-4262
Town of Cutler Bay | 10720 Caribbean Boulevard, Suite 105 | Cutler Bay, FL | www.cutlerbay-fl.gov
CERTIFICATE OF USE / LOCAL BUSINESS TAX LICENSE SUBMITTAL CHECKLIST
The following items are required to submit an application for a Certificate of Use or Business License:
□ APPROVED Cutler Bay Use Request Form (Approved by the Planning and Zoning Division prior
to application, found on the Town’s website).
□ Copy of Miami-Dade County Approval of Municipal Application for Certificate of Use or
Business License placard. (Contact DERM – 786-315-2800.)
□ Completed Cutler Bay “Certificate of Use Application” form and payment of $35.00 fee.
□ Federal Tax ID Number or EIN (this is obtained from the Internal Revenue Service or
800-829-4933).
□ State of Florida Business Registration Documents this can be filed Articles of Incorporation, LLC
registration, or Fictitious Name. Available through www.sunbiz.org.
□ State/Trade License (if applicable based on the type of business being registered.)
□ Fire Permit Certificate/Fire Inspection Report available through the Miami-Dade Fire
Department (www.miamidade.gov/fire), 786-331-4800.
□ Lease Agreement including signatures of the landlord and tenant
(Home Based Businesses must have property owner approval if the applicant is a tenant.)
□ Parking Plan/Site Plan indicating the location and number of parking spaces provided.
□ Home Based Businesses
o Floor Plan of Residence indicating the location and dimensions of the home office.
o Home Occupation Affidavit (available on the Town’s website).
□ Cutler Bay Local Business Tax Receipt Application, found on the Town’s website (fee depends
on business type, please contact the Town for more information).
□ Miami-Dade County Local Business Tax Receipt, contact by phone at 305-270-4949 or
www.miamidade.countytaxes.com/btexpress.
□ AHCA Licensing Certificate for Assisted Living Facilities (Contact: 850-412-4304).
□ Certificate of License from Agency for Persons with Disabilities for Group Homes (Contact: 850-
488-4257).
TOWN OF CUTLER BAY
Department of Community Development
Planning and Zoning
(305) 234-4262
Town of Cutler Bay | 10720 Caribbean Boulevard, Suite 105 | Cutler Bay, FL | www.cutlerbay-fl.gov
CERTIFICATE OF USE APPLICATION
Application Date: ________________
Business Information:
Business Name: ______________________________________________________________________
Business Address: _____________________________________________________________________
Business Opening Date: ________________________________________________________________
Business Telephone Number: ____________________________________________________________
Prior Business Tenant: _________________________________________________________________
Type of Business Proposed: _____________________________________________________________
(types of merchandise sold, services provided, please provide as much detail as possible)
Square Footage of Business/Tenant Space: _________________________________________________
Does this business share space with another business: □ Yes □ No
(If “yes,” please attach the current Certificate of Use for the business/location.)
Property Information:
Primary Address: _______________________________________________________________
Folio No.: _____________________________________________________________________
Legal Description: Lot _______________, Block ________________, Section _______________
Subdivision: ___________________________________________________________________
Business Owner Information:
Applicant Name: ______________________________________________________________________
Applicant Address: ____________________________________________________________________
Applicant Email Address: _______________________________________________________________
Applicant Telephone Number: ___________________________________________________________
Applicant Driver’s License/State Identification Card Number: __________________________________
TOWN OF CUTLER BAY
Department of Community Development
Planning and Zoning
(305) 234-4262
Town of Cutler Bay | 10720 Caribbean Boulevard, Suite 105 | Cutler Bay, FL | www.cutlerbay-fl.gov
Affidavit:
State of ____________________________
County of __________________________
___________________________________________being first duly sworn, deposes and says that: He/She is the
□ Owner □ Partner □ Representative □ Officer □ Agent of ______________________
and that matters and facts stated in this Certificate of Use Application are true and correct to the best of their
knowledge, and that they, in the capacity indicated above, are authorized to execute this application for the
purpose of obtaining a Certificate of Use from the Town of Cutler Bay.
Sworn and subscribed before me this ________
_______________________________________ day of _______________________, 20_______.
Affiant Signature
____________________________________ ____________________________________
Print Name and Title Notary Public, State of Florida
My Commission Expires: ___________________
Telephone Number: _______________________
Office Use Only
Use Classification: ____________________________________________________________________________
Existing Zoning: _____________________________ Use Permitted by Zoning: □ Yes □ No
Number of Parking Spaces Required: ____________ Number of Parking Spaces Provided: _______________
Application complies with Parking Requirements of Land Development Regulations: □ Yes □ No
Complies with Concurrency? □ Yes □ No
Existing/Current Use: _________________________ Proposed Use: _________________________________
Miami-Dade County Approval Business License placard (DERM): □ Yes □ No
Inspections (not all may be required):
TRADE
APPROVED
DATE
SIGNATURE
Zoning
Electrical
Mechanical
Plumbing
Fire Concurrency
Building Official
Certificate: □ Approved □ Denied
____________________________ ______
Community Development Director Date
_______________________________________
Certificate Number
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Copy of Miami-Dade County Approval of Municipal Application (Town of Cutler Bay)

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Completed 22 January 2021

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