BUSINESS TAX RECEIPT & CERTIFICATE OF USE APPLICATION CHECKLIST
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1 BUSINESS TAX RECEIPT & CERTIFICATE OF USE APPLICATION CHECKLIST All applicable documents must be submitted with applications Commercial Business Applications New Business Information Form For Certificate of Use Application Completed in Full Proof of Ownership or copy of lease agreement (if lease has not been executed it must be presented prior to issuance of Business Tax and Certificate of Use) Location of business must meet all zoning regulations (additional applications and fees may be required when applicable) For signage on a commercial business location a sign permit will be required and finalized prior to issuance (When Applicable) Must schedule and pass a new business inspection by the Building Official and Fire Marshal PRIOR to opening. All permits must be closed and business ready to operate before the new business inspection can be scheduled Payment of all applicable fees For Business Tax Receipt (formerly Occupational License) Application Completed in Full Proof of permission to use business name by the State of Florida if named something other than first and last name of applicant (i.e. Fictitious Name, Incorporated, LLC, etc.) Copy of State License by the appropriate regulating authority of the State of Florida (when applicable) Local Business Tax Receipt Exemption Affidavit (when applicable) Social Security Policy Payment of all applicable fees Rev 08/17
2 CITY OF ST. CLOUD NEW BUSINESS INFORMATION FORM th Street, St. Cloud, Florida Phone: Fax: Received By: Received: NEW BUSINESS INFORMATION Business Name: Business Address: Contact: Phone: Type of Business: Please provide a detailed summary of the proposed business operations. (Note: May be submitted as an attachment) Will improvements be made to the BUILDING? NO YES Will improvements be made to the SITE? NO YES If yes, please provide details: SIGNATURE DATE Verified By: (Initial) Parcel Identification Number (list all): Previous use: Zoning District: City Use Classification: Change of Use required? New Business Information Form Rev 08/17
3 ****INCOMPLETE APPLICATIONS WILL BE DENIED**** CITY OF ST. CLOUD COMMERCIAL LOCATIONS APPLICATION FOR CERTIFICATE OF USE th Street, St. Cloud, Florida Phone: Fax: Received By: Received: Description of Business FEE TYPE FEE AMOUNT Certificate of Use $25.00 $ Application Fee $20.00 $ Fire Department New Business Inspection $51.50 $ TOTAL DUE $ LP Gas Sales Yes No Name of Business or Entity Owner Name Business Physical Address Owner Address Business Phone Owner Phone Address Are you performing any renovations to your building? YES NO If YES, separate permits are required for Building, Electrical, Mechanical, Plumbing, Fire Sprinkler, Hood, etc. (any work performed that affects any fire-rated partition or wall will require a permit and inspections by Building and Fire Department). Are you adding new signage or changing existing signage on your building? YES NO If YES, a separate sign permit will be required and must match the business name on this application. Sign Permit must be finalized prior to issuance of the Certificate of Use. Please indicate your unit and the type of use in your unit and adjacent units, such as Retail Store, Professional Office, Restaurant, Industrial, Religious Organization, etc. (To be completed only if location is part of a multi-use building or shopping center) YOUR PROPOSED UNIT YOU MAY NOT BEGIN ANY BUSINESS OPERATIONS UNTIL: (1) ALL APPROVALS HAVE BEEN COMPLETED BY THE ZONING OFFICIAL, BUILDING OFFICIAL, AND FIRE MARSHALL; (2) YOUR CERTIFICATE OF USE HAS BEEN ISSUED; AND (3) ALL FEES HAVE BEEN PAID IN FULL. Application for Certificate of Use Page 2 of 2 Revision 08/17
4 AUTHORIZATION TO APPLY AND ACKNOWLEDGEMENT OF REQUIREMENTS I, (Print), being duly authorized to sign for the business or entity named above, hereby (Applicant / Business Owner Name) make application for a Certificate of Use to operate within the City of St. Cloud, Florida. I certify that I have read and understand all information provided in this application. I certify that the information provided by me is true and correct to the best of my knowledge. I acknowledge that a Certificate of Use issued pursuant to this application does not waive requirements of any City, County, State or Federal ordinance, statute, or regulation that I or the business or entity must meet prior to conducting, or while engaging in the business operation for which the Certificate of Use is sought. I have complied, or will comply, with all such requirements. (NOTE: Please DO NOT sign this application until a NOTARY PUBLIC is present) Signature STATE OF FLORIDA COUNTY OF OSCEOLA, The foregoing instrument was acknowledged before me this day of, 20 By, who is personally known to me or who has produced as identification. Notary Public Signature Name of Notary Public Typed, Printed or Stamped / Commission No. APPLICATION WILL EXPIRE 30 DAYS AFTER SUBMITTAL IF ALL REQUIREMENTS ARE NOT MET BY APPLICANT AND THE NON-REFUNDABLE APPLICATION FEE WILL BE FORFEITED. CERTIFICATE OF USE APPROVAL: COMMERCIAL INSPECTION SIGN OFF AND APPROVAL: LICENSING/ZONING COMPLIANCE Approval Signature Inspection date: Approval comments: Fire Marshall Signature Denial Building Official Signature Signature Reason for Denial: Police Dept (when applicable) Signature Application for Certificate of Use Page 2 of 2 Revision 08/17
5 CITY OF ST. CLOUD LOCAL BUSINESS TAX RECEIPT NEW BUSINESS INSPECTION AFFIDAVIT th Street, St. Cloud, Florida Phone: Fax: Received By: Received: Business Name: Business Address: Contact: Phone: Sec Certificate of use required. (a) No person, firm or corporation shall engage in or manage any business, profession, trade, amusement or industry in the city, without first making application and having procured a certificate of use for each location or premises. Certificates of use shall not be issued until a new business inspection is completed at the location or premise and found to comply with all requirements of the code of the city and all applicable laws and regulations. Whenever any business, profession, occupation, trade, amusement or industry shall fall into more than one of the classifications or uses contained in the schedule set forth in chapter 40, article IV, occupational license tax, such occupation, business, profession, or privilege shall not be required to obtain more than one certificate of use. Each classification or use shall be indicated on the certificate of use as appropriate. Sec Delinquent certificate of use; failure to obtain; penalty. Any person who violates the provisions of this article or otherwise fails to obtain or allows to expire the certificate of use as required by this article shall be subject to prosecution in the manner provided by F.S. ch. 162 or F.S , and, upon conviction, such person shall be subject to a fine, imprisonment, or both. I,, have read and understand the above City Codes and understand that my (Print Business Owner Name) business located at the address indicated above cannot open prior to all approvals being met for obtaining a Certificate of Use and a New Business Inspection is performed. I also understand that opening my business prior to obtaining a Certificate of Use may result in a Code Enforcement action and costly fines may be imposed on me pursuant to Florida Statute (2). Business Owner Signature State of Florida County of Osceola The foregoing instrument was acknowledged before me this day of, 20, by, who is personally known to me or who has produced as identification. Notary Public Signature Name of Notary Typed, Printed or Stamped / Commission No. New Business Inspection Affidavit Page 1 of 1 Rev 08/17
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8 ****INCOMPLETE APPLICATIONS WILL BE DENIED**** CITY OF ST. CLOUD COMMERCIAL LOCATIONS APPLICATION FOR LOCAL BUSINESS TAX RECEIPT th Street, St. Cloud, Florida Phone: Fax: Received By: Received: TRANSFER License No: FEE TYPE FEE UNIT AMOUNT Local Business Tax $56.28 $ Receipt Transfer Fee $5.63 $ Description of Business, Profession or Occupation Vending Machine Fee $14.07 $ TOTAL DUE $ AMOUNT PAID $ BALANCE DUE $ Name of Business, Profession or Occupation Owner Name Business Physical Address Owner Address Business Phone Owner Phone Social Security Number (SSN) or Federal Employer Identification Number (FEIN #) Address Check appropriate box for federal tax classification; check only one of the seven boxes: Individual/Sole Proprietor C Corporation S Corporation Partnership Limited Liability Company Trust/Estate OTHER Please list Officers and/or Member Managers and Titles (if applicable) Does the business have Vending Machines on the premises? YES NO If YES, please indicate the quantity and type(s) of product. Quantity of Vending Machines: Type(s) of Product: YOU MAY NOT BEGIN ANY BUSINESS, PROFESSION OR OCCUPATION UNTIL ALL APPROVALS HAVE BEEN COMPLETED AND ALL FEES HAVE BEEN PAID IN FULL. Application For Local Business Tax Receipt (Commercial) Page 2 of 2 Rev 08/17
9 Does the business, profession or occupation require a State License? YES NO If Yes, Florida Statute prohibits issuance of Business Tax Receipt without first showing an active state license (if required). Any person applying for or renewing a local business tax receipt to practice any profession or engage in or manage any business or occupation regulated by the Department of Business and Professional Regulation, the Florida Supreme Court, or any other state regulatory agency, including any board or commission thereof, must exhibit an active state certificate, registration, or license, or proof of copy of the same, before such local receipt may be issued. Online renewals may provide for electronic certification by an applicant to meet this requirement. PLEASE BE AWARE THAT YOU MAY BE REQUIRED TO ALSO OBTAIN A BUSINESS TAX RECEIPT FOR THE COUNTY OF OSCEOLA. FICTITIOUS NAME AFFIDAVIT THIS IS TO CERTIFY THAT THE BUSINESS LISTED ABOVE IS EXEMPT FROM REGISTERING AS A FICTITIOUS NAME FOR THE FOLLOWING REASON: (check one) I am doing business under an incorporated name I am licensed by the Department of Business & Professional Regulation and NOT doing business as another name (d.b.a) I am a single owner using my first and last name as part of the business name I, (Print), being duly authorized to sign for the entity named above, hereby make (Applicant Name) application for a Business Tax Receipt to operate within the City of St. Cloud, Florida. I certify that I have read and understand all information provided in this application. I certify that the information provided by me is true and correct to the best of my knowledge. I acknowledge that a Business Tax Receipt issued pursuant to this application does not waive requirements of any City, County, State or Federal ordinance, statute, or regulation that I or the business must meet prior to conducting, or while engaging in the business, profession or occupation for which the Business Tax Receipt is sought. I have complied, or will comply, with all such requirements. (NOTE: Please DO NOT sign this application until a NOTARY PUBLIC is present) Applicant s Signature STATE OF FLORIDA COUNTY OF OSCEOLA The foregoing instrument was acknowledged before me this day of, 20 By, who is personally known to me or who has produced as identification. Notary Public Signature Name of Notary Typed, Printed or Stamped / Commission No. I further acknowledge that I have received a copy of The City of St. Cloud s Social Security Policy. (Resolution R) Applicant s Initials APPLICATION WILL EXPIRE 30 DAYS AFTER SUBMITTAL IF ALL REQUIREMENTS ARE NOT MET BY APPLICANT AND THE NON-REFUNDABLE APPLICATION FEE WILL BE FORFEITED. Application For Local Business Tax Receipt (Commercial) Page 2 of 2 Rev 08/17
10 CITY OF ST. CLOUD LOCAL BUSINESS TAX RECEIPT EXEMPTION AFFIDAVIT th Street, St. Cloud, Florida Phone: Fax: Received By: Received: Business Name: Business Address: Contact: Phone: Business must meet the following criteria: 1. Business owner must be a resident of the City of St. Cloud; 2. Have no more than one employee or helper; and 3. Use their own capital only, not in excess of $1, Reason for Exemption: (Please check the appropriate box) Physically Disabled (F.S , FS) Widow with Minor Dependents (F.S , FS) Disabled Veterans or their un-remarried spouses (F.S , FS) 65 Years of Age or Older (provide proof of age) F.S Exemption allowed certain disabled persons, the aged, and widows with minor dependents. (1) All disabled persons physically incapable of manual labor, widows with minor dependents, and persons 65 years of age or older, with not more than one employee or helper, and who use their own capital only, not in excess of $1,000, may engage in any business or occupation in counties in which they live without being required to pay a business tax. The exemption provided by this section shall be allowed only upon the certificate of the county physician, or other reputable physician, that the applicant claiming the exemption is disabled, the nature and extent of the disability being specified therein, and in case the exemption is claimed by a widow with minor dependents, or a person over 65 years of age, proof of the right to the exemption shall be made. Any person entitled to the exemption provided by this section shall, upon application and furnishing of the necessary proof as aforesaid, be issued a receipt which shall have plainly stamped or written across the face thereof the fact that it is issued under this section, and the reason for the exemption shall be written thereon. (2) Neither this nor any other law exempts any person from the payment of any amount required by law for the issuance of a license to sell intoxicating liquors or malt and vinous beverages. F.S (4) Receipts obtained by the commission of fraud upon any issuing authority are void. Any person who has fraudulently obtained a receipt, or who has fraudulently received any transfer of a receipt issued to another, and has thereafter engaged in any business or occupation requiring a receipt under color thereof is subject to prosecution for engaging in a business or occupation with having the required receipt under the laws of the state. I, (print name), have read and understand the above Florida Statutes and affirm that I qualify for an exemption from payment of local business tax receipt to the City of St. Cloud for the above stated reason. Signature State of Florida County of Osceola The foregoing instrument was acknowledged before me this day of, 20, by, who is personally known to me or who has produced as identification. Notary Public Signature Name of Notary Typed, Printed or Stamped / Commission No. BTR Exemption Affidavit Page 1 of 1 Rev 08/17
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