City of South Miami SEP 2.1 2016
"Miami Planning & Zoning Department
South Miami civ rats st30Stnset Drive, South Miami, Fla 33143 Planning ane Zon
THE CITY OF PLEASANTUNING, Telephone: (305) 663-6326; Fax: (308) 668-7356 Departrient
Application for Comprehensive Plan Amendment and Public Hearing before Local
Planning Agency (LPA) & City Commission
[PSSA BR SotHR Miami, 33143 eee
Meets & Bounds: Size of Property Acres
[Applicant FIT SHOps at SUNSET PIECE Phone:
Representative:
laddress: 46 SW 1st Street, Third Floor Phone
Miami,FL 33130 305-381-6060
‘Organization:
Proper Owner TPH Signature
BuvPNdFaitarte Hid
emanties “SEPPREFEIANEHE? Suite 300 prone: 05001-1000
Architect/Engineer: Phone:
[AS THE APPLICANT, PLEASE INDICATE YOUR RELATIONSHIP TO_THIS PROJECT:
[owner _[obwners Representative [_Pontract to purchase LOption to purchase _[renantLesses
[APPLICATION IS HEREBY MADE FOR THE FOLLOWING: [SUBMITTED MATERIALS
LEASE CHECK THE APPROPRIATE ITEM: JPLEASE CHECK ALL THAT APPLY:
[¥|Comprehensive Plan Amendment Text | Lotter of intent
|__Justitcations for change
| — Public Facilities Impact Report
[Jruture Land Use Map Amendment
‘uture Land Use Map Amendment.
[Small-Scale Map Amendment)
|__Proof of ownership o letter from owner
|__Powar of attorney
Brety explain application, ctespecic Plan sections tobe amended: orincate |} Contact to purchase
JFLUMA category change:
|___current survey (1 orginal sealed and
signed/t reduced copy @ 11"x 17")
| _15 copies of site Pian
| 1 reduced copy @ 11" x17"
| _Affdavit-Roceipts attesting to mail
‘notices sent
Please refer to the attached letter of intent.
|___Maiing laos @ sets) ard map
| Required Fee(s)
completed application ane Tepresens That The Taformation anda SibaT
ants kriowledge and belie.
Date
"The andetaned Te
correct tote best
Upon receipt applications and all submited materials wil be ceviewed for compliance withthe Ciy's Land Development Code, Flovida States and Florida
‘Amiaisratve Code and ote applicable regulations, Appiatons found nots compliance wl be ejected and retard to the oplcant
OFFICE USE ONLY:
Date Fited_4J24 UU Date of LPA Hearing, Date of Commission.
Petition Required, Patition Accepted, Method of Payment
Z:Forms\Current Planning Department Forms\Planning Department Forms\Planning Board\LPA Application for Comp Plan Amend =
Revised 7-27-16.doc