HomeMy WebLinkAboutApplication for Certificate of AppropriatenessAPPLICATION FOR
CERTIFICATE
OF APPROPRIATENESS
ALTERATIONS, NEW CONSTRUCTION
CITY OF MIAMI
PLANNING DEPARTMENT
HISTORIC PRESERVATION
HISTORIC RESOURCE ADDRESS/ NAME
�/. Ingraham Building
OWN ER'S NAME
25 SE Second Avenue Miami Florida
HISTORIC DISTRICT NAME
V 305-377-1669
OWNER'S DAYTIME PHONE NUMBER
1RUX 33133 info@ingrahambuilding.
OWN ER'S ADDRESS, CITY, STATE, ZIP CODE
APPLICANT/AUTHORIZED REPRESENTATIVE (NAME &TITLE)
ns S,- �n� ►'�Nc 7l IJC� t•C MM1 . 3Dj i-b
APPLICANT'S ADDRESS, CITY, STATE, ZIP CODE
OWNER'S E-MAIL
com
(21C)IS
APPLICANT'S DAYTIME PHONE NUMBER
APPLICANT'S E-MAIL
APPLICANT'S RELATIONSHIP TO OWNER
BELOW PROVIDE A DETAILED DESCRIPTION OF PROJECT ATTACH SKETCHES AND/OR ILLUSTRATIONS ON ADDITIONAL PAGE(S)
20\t v Q cut. -mac TGT2 'I2-la1 v, c cL v ✓1 c -e-t
71'1,2 a c-z-- mom,-(v ,e (re_-k,/ CA -are d
Iv) C Lo���( I� 44A,(//.o-G Pon` de) !of
, r o f 0004 wL 5 -
(2 cow ()f5YL-1` 2,Cia �(
NOTE: A COMPLETE CHECKLIST AND INSTRUCTIONS FOR REQUIRED ATTACHMENTS ARE ON REVERSE SIDE
❑ OTHER MATERIALS SUBMITTED
OWNER ATTESTATION:
I CERTIFY TO THE BEST OF
SIGNATURE OF PR•PER
Y KNOWLEDGE THAT ALL INFORMATION PROVIDED IN THIS APPLICATION AND ATTACHMENTS ARE CORRECT
0 NER
DATE
SIGNATURE OF APPLICAN
FOR;STAFF.EUSE,ONLY:.
APPLICATION
r.,STANDARD COA'\.
•
SPECIAL, COA.
OTHER THAN PROPERTY OWNER)
TE'RkEIVED
APP9O\'Ep.:1
APpROVEp WITH'CO
DENIED
ATE