Local Business Tax License Application
Town of Cutler Bay
Office Use Only
Categories:
Fee:
10720 Caribbean Boulevard, Suite 105
Cutler Bay, Florida 33189
Local Business Tax License Application
APPLICATION PROCEDURE
The following steps must be taken to establish a business within the Town of Cutler Bay:
Step 1. Before signing a lease or purchasing property in the Town of Cutler Bay, check with the Planning and Zoning
department to make certain that the proposed business or occupation is permitted at the address intended. The
Planning Division will verify that all parking requirements for your proposed business or occupation are met as
well.
Step 2. Apply for a Certificate of Use and Occupancy
from the Town of Cutler Bay.
Step 3. Once you have obtained verification from the Planning and Zoning Division that your business meets the
zoning and parking requirements, you must complete the attached Local Business Tax License application,
which must be signed by the owner of the business and notarized.
Step 4. Submit the completed application
with all necessary attachments (which are indicated by bold italics
throughout the application) to the Building and Planning Department for processing.
PLEASE READ CAREFULLY
For the Town of Cutler Bay Town Clerk’s Office to process your Local Business Tax License Application, it is necessary
that the application be complete and include all attachments.
During the processing of your application, you may be asked to submit additional information. The Town does not
guarantee a license upon submission of your application. Submission of an application does not imply consent to
operate your business therefore, you shall not conduct any business until a Local Business Tax License is issued. The
Town may not be held responsible for improvements you make on the location prior to all approvals given for the
issuance of your Local Business Tax License. Proper permits must be obtained for all alterations, remodeling, and
repairs affecting the electrical, plumbing, mechanical or building structure.
APPLICATION
Instructions
: Please print or type to allow for a more accurate processing of your application.
Name of Applicant/Business:
Commence Date:
DBA:
Contact Person:
Additional Contact:
Telephone Number:
Business Address:
Business Telephone:
Business Fax:
Please indicate what products will be sold or services rendered:
Local Business Tax License Application
Page 2
Name of Applicant:
Social Security Number:
Florida Driver’s License Number:
Applicant’s Mailing Address:
Applicant’s Home Telephone: Applicant’s Fax Number:
If this business is a proprietorship, please provide the name of the proprietor in the space provided below:
If this business is a partnership, please provide the names of the partners in the space provided below:
If this business is a corporation, please provide the names of the officers and their titles in the space provided below:
Please submit the corporate documents showing the Federal Identification Number and/or registration as a
Corporation/Fictitious Name.
Please provide proof of approved sanitation services.
WILL THIS BUSINESS…
1. Be a professional association? Yes
No
2. Join an existing office? Yes
No
3. Have door-to-door service? Yes
No
4. Operate from a home? Yes
No
5. Require state licensing? Yes
No
6. Require license transfer? Yes
No If Yes, provide original Local Business Tax License.
7. Be licensing fee exempt? Yes
No
8. Serve liquor? Yes
No
9. Serve food? Yes
No
10. Sell tobacco products? Yes
No
11. Have day or adult care services? Yes
No
12. Deal with hazardous materials? Yes
No
13. Any work or alterations? Yes
No If Yes, describe the work in the space provided below.
14. Not-For-Profit Organization? Yes No If Yes, provide a copy of not-for-profit documentation.
Local Business Tax License Application
Page 3
GENERAL INFORMATION
Instructions: Please write N/A if the question is not applicable to the type of business you are applying for.
1. What is the gross floor area of the business facility?
Square feet
Please provide a copy of your lease agreement to verify square footage.
2. What is the number of parking spaces exclusively for this use?
Regular spaces
Handicap
Stroller
3. What is the number of employees including owners and management?
Employees
4. What is the number of coin operated machines at location? (i.e. cigarette, soda, washer machines, drier, etc.)
Please provide a completed application for coin operated machines. Machines
5. What is the number of units?
Units
AFFIDAVIT
State of
County of
being first duly sworn, deposes and says that:
He/she is the (Owner, Partner, Officer, Representative or Agent)
of (name of
applicant)
, and that matters and facts stated in this application are true
to his/her knowledge, and that he/she as (title)
for (name of
applicant)
is authorized to execute this application for the
purposes of obtaining a Local Business Tax License from the Town of Cutler Bay.
Sworn to and subscribed before me this day of
Signature
, 20 .
Print Name and Title Notary Public, State of Florida
Telephone My Commission Expires:
QUESTIONS
Any questions concerning this application should be referred to the Town Clerk’s Office at 10720 Caribbean Boulevard,
Suite 105, Cutler Bay, Florida 33189. Office hours are 9:00 A.M. thru 5:30 P.M. You may also call (305) 234-4262 or
fax your questions to (305) 234-4251.
Local Business Tax License Application
Page 4
CHECKLIST OF ATTACHMENTS
The following is a checklist of attachments which your application may need to have in order to be processed. Please
attach the required documentation to the application.
Miami-Dade County Local Business Tax License.
Certificate of Use/Zoning Inspection
Fire Inspection Report, call (786)331-8000 for an inspection.
Coin Operated Machine Application.
Proof of hazardous waste pick-up for any type of medical offices.
Proof of approved sanitation services if an eating establishment
Corporate documents showing the Federal Identification Number and registration as a Corporation/Fictitious name.
Lease Agreement showing Square Footage figures.
State License, if applicable.
FOR OFFICE USE ONLY – DO NOT COMPLETE
Date inspections requested:
Approved By Date Rejected By Date
Building
Plumbing
Electrical
Mechanical
Zoning
DERM
Be advised: The following documents are required:
Site/Floor Plan
Declaration of Use
IUC Letter
Health Department Approval
See Exhibit File
Other