Town
of Bay Harbor Islands
APPLICATION FOR OCCUPATIONAL
LICENSE
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PRINT
OR TYPE ALL INFORMATION REQUESTED
BEFORE
OPENING A BUSINESS IN BAY HARBOR ISLANDS MAKE SURE YOU CHECK WITH
THE BUILDING DEPARTMENT FOR CERTAIN CONDITIONS THAT MAY APPLY
TO THE BUSINESS OR LOCATION.
| EXAMPLE:
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Change
of Use and Occupancy Inpections
Fire Department Inpections
Sign Regulations |
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PROCESSING FEE - $25.00
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DATE ISSUED: (For official use only)
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ACCT. NO.
LICENSE NO.
CLASSIFICATION:
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__________________________
__________________________
__________________________
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INDICATE
OWNERSHIP OF BUSINESS FOR WHICH YOU ARE NOW APPLYING:
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Individual
Partnership
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Corporation
Other |
X
| *APPLICANT: |
DATE
OF BIRTH: |
| RESIDENCE
ADDRESS: |
PHONE: |
| SS#: |
FEIN: |
DRIVER
LICENSE: |
| BUSINESS
NAME: |
PHONE: |
| BUSINESS
ADDRESS: |
| MAILING
ADDRESS (if different) |
| KIND
OF BUSINESS (provide details) |
| KIND
OF BUSINESS (provide details) |
ESTIMATED
NUMBER OF EMPLOYEES: ________ DAYS BUSINESS WILL BE OPEN:____ HOURS:________
WILL BUSINESS HAVE ANY VENDING MACHINES ________ IF SO, WHAT PRODUCT
WILL BE VENDED:_________________
*PROPERTY
OWNER, IF OTHER THAN APPLICANT, ATTACH COPY OF LEASE.
*IF APPLICANT IS A CORPORATION OR PARTNERSHIP, LIST PARTNERS OR CORPORATE
OFFICERS BELOW:
| NAME |
SOCIAL
SECURITY # |
DATE
OF BIRTH |
ADDRESS |
PHONE
# |
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(Please attach copy
of Corporation/fictitious name registration, or both. Also, please attach
copies of any applicable certifications issued by State/County agencies
that are required to conduct your business)
| LIST
NAME, ADDRESS AND TYPE OF BUSINESS (both current and previous) YOU
HAVE OPERATED: |
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| Occupational
License Application (Continued) |
Applicant__________________________
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LIST
THREE (3) REFERENCES: (Note if you list a bank, corporation, etc. include
name of contact person)
I
understand that in applying for a business license in the Town of Bay
Harbor Islands it is my obligation to understand and comply with the
rules and regulations of the Town of Bay Harbor Islands. I acknowledge
receipt of a copy of the Town's sign regulations, if applicable.
APPLICANT'S
SIGNATURE _______________________________ DATE: _________________
FOR
OFFICE USE ONLY:
FOR RESTAURANTS/FOOD
ESTABLISHMENTS, A SOLID WASTE DEPOSIT IS REQUIRED (This amount can be
adjusted depending upon monthly volume usage)
50-149 seats $200.00
150-200 seats $500.00
INCOMPLETE
APPLICATIONS WILL NOT BE PROCESSED
PLEASE BE SURE TO ATTACH ALL REQUIRED DOCUMENTATION |
| Occupational
License Application (Continued) |
Applicant__________________________
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Town
of Bay Harbor Islands
LICENSED HOME OCCUPATIONS
(To be completed by applicant in addition to Occupational License Form)
1. Are
you a permanent domiciliary resident of the dwelling unit? ________
2. Indicate
below the total floor area of your home/apartment and the amount of the
floor area to be devoted to home occupation (excluding porches, garages,
carports and other areas which are not considered living areas).
Total
floor area ___________sq. ft. Area devoted to home occupation ___________
sq. ft.
Attach
a floor plan drawing of the entire residence, showing the area to be used
for the home occupation and storage of inventory (see below #3).
3. "INVENTORY"
is defined as merchandise, stock in trade or goods of any nature, the
purpose of which are to be sold, assigned and physically transferred or
delivered to customers, clients and/or patrons of said business. _________
cubic feet are anticipated for storage of inventory (indicate area on
drawing).
4. Given
the nature of the proposed business, excluding facsimile machine, telephone
and/or postal transactions, will goods or services be provided, sold or
transfered to a customer, consumer or client on the premises of
a home occupation? ____________
5. Do
you anticipate that any client or customer will need to enter your home
occupation premises? _______.
If yes, for what purpose?___________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
6. At
any given time, how many clients/customers would you anticipate being
on your premises?________
How many per day? ___________
7. How
many deliveries of any kind do you expect to be made on the premises of
this proposed home occupation? ___________
I understand
and agree that there is to be no external evidence of the existence of
the home occupation; signs, displays on the premises, off-street parking
areas or on driveways are prohibited; stationary, business cards and media
advertisement are permitted but the residential address shall not be utilized
on any of the foregoing.
I further
understand and agree that this proposed home occupation shall not create
noise, glare, fumes, odors, dust, smoke, electro-magnetic disturbances
or waste and trash other than normal household trash and normal recyclables;
no equipment or processes shall be used which create visual or audible
interferences in any radio or television receiver located nearby; and
no explosives or chemicals or chemical equipment shall be used except
those chemicals that are used for domestic or household purposes.
I have
read the standards set forth in this application and agree to comply with
the conditions imposed by the Town to insure compliance with such standards.
I acknowledge that the departure therefrom may result in a suspension
or termination of the occupational license and the Town has the right
to reasonably inspect the premises upon which the occupation is conducted
to insure compliance with the foregoing standards and conditions and to
investigate complaints, if any, from neighbors.
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Signature______________________________ |
| X |
| Date
___________________ |
Print
Name ____________________________ |
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