Loca
l
Bus
i
ness Ta
x
Receipt
Appli
c
ation
Town
of
Cutler
Bay
10720
Caribbean Boulevard, Suite
105
Cutler Bay, Florida
33189
Office
Use
Only
Categories:
Fee:
Local Business Tax Receipt Application
APPLICATION
PR
O
C
EDUR
E
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 this Local
Business
Tax Receipt 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 Finance
Department
for processing.
PLEASE READ
CAREFULLY
For the Town of Cutler Bay Finance Department to
process
your Local
Business
Tax Receipt
Application, it is
ne
cessary
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 i s s u i n g
a business tax receipt 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 Receipt
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 Receipt. 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:
Commen
ce
Date:
D
B
A:
Contact
Pe
rson:
Additional
Contact:
Telephone
Number:
Business
Address:
Business
Telephone:
Business
Fa
x:
Please
indicate what
products
will be sold or
services
rendered:
Loca
l
Bus
i
ness Ta
x
Receipt
Appli
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Page
2
Name
of
Applicant:
Social
Securi
ty/Federal Tax ID
Number:
Florida
Drive
r
’s
License
Number:
Applicant’s
Mailing
Address:
Applicant’s
Home
Telephone:
Applicant’s
Email
:
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
be
low:
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, if applicable,
Corporation/Fictitious
Name registration.
Please provide proof
of
approved sanitation
services, if required.
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
Bus
i
ness
Tax Receipt
.
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
servi
c
es?
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.
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l
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Appli
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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
l
o
cation?
(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 (ask Town staff for details)?
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 Receipt
from the Town of Cutler Bay.
Sworn
to and
subscribed before
me this day of
S
i
g
n
a
tur
e
, 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 Finance Department at 10720
Caribbean
Boulevard,
Suite
105, Cutler
Bay,
Florida 33189. Office hours
are 8
A.M. thru 5 P.M. You may
also
call
(305) 234-4262 or fax your
questions
to
(305)
234-4251.
click to sign
signature
click to edit
Loca
l
Bus
i
ness Ta
x
Receipt
Appli
c
ation
Approved By
Date
Rejected
By
Date
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CHECKLIST
OF ATTACHMENTS
The following is a checklist of
attachments
which your application
may need
to
have
in order to be processed (ask
Town staff for details).
Please
attach
the required
documentation
to the application. During review of your application,
additional documentation may be requested to complete processing.
Miami-Dade County
Local Business Tax Receipt
.
Certificate
of
Use/Zoning
Inspection
Fire Inspection Report,
call
Miami Dade County 311
for information.
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
S
quare
Footage
figures.
State License,
if applicable.
FOR OFFICE USE
ONLY DO NOT COMPLETE
Date
inspections
requested:
B
u
il
d
i
n
g
P
l
umb
i
n
g
E
l
e
c
tr
i
c
a
l
Mechanical
Zoning
D
E
R
M
Be
advised:
The
following
documents are
required:
Site/Floor
Pla
n
Declaration
of
Use
IUC
Lette
r
Health
Depart
m
e
nt Approval
See
Exhibit
Fil
e
O
th
e
r