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Business License Application
Business License Application
Business License Application
1
Requirements Overview
2
Business & Contact Info
3
Required Documents
4
Nature & Specifics
5
Owner Information
6
Questionnaire
7
Signature and Consent
Special Requirements for Certain Businesses
If your profession or business is certified by the department of business and professional regulations (850-487-1395) or department of health (850-488-0595), you must attach a copy of your certification, registration, or license to this application.
Banks, mortgage brokers, finance companies, and stockbrokers must be registered with the office of financial regulation (850-410-9805). attach a copy of the license showing proper business location to this application.
Restaurants and mobile food unit operators must contact the division of hotel and restaurants (850-487-1395). you must attach a copy of approved inspection report to this application or obtain an authorized signature on the certificate of approval provided with packet.
Child care must have the approval of the palm beach county health department (561-840-4500). you must attach a copy of the license to this application or obtain an authorized signature on the certificate of approval provided with packet.
Food outlets, auto repair, travel agencies, telemarketers, health and dance (ballroom) studios must submit a permit, registration or exemption from the state of Florida, department of agriculture and consumer services (1-800-435-7352)
Certified contractors must attach a copy of state of Florida and/or palm beach county certification. call (561-233-5525) for certification information. county receipt is required, countywide municipal receipt is optional.
Dance studios, martial arts facilities, gyms, yoga, pilates or similar businesses, including indoor recreation, must attach a copy of your certification from the department of agriculture & consumer services (1-800-435-7352).
Have you Read the Special Requirements?
*
Yes
Parcel
Find Your Parcel Control Number
Parcel Control Number
*
License Type and General Information
Type of Business
*
Residential Rental
Commercial Rental
Home Occupation Tax Receipt
Residential Business Types
*
Single Family/Townhouse
Condo
Apartment (2-4 units)
Apartment (5-9 units)
Apartment (10-20 units)
Apartment (21 or more units)
Efficiency
Ownership Type
*
Owner
Tenant
Is this property owned in a trust or corporation?
Yes
No
Business Contact Information
Business Phone
*
Identification
*
Social Security Number
Tax ID Number
Social Security Number
*
Tax ID Number
*
Email
*
Business Address in Lake Worth Beach
*
This must be a Lake Worth Beach address. Please verify that you have found and added your PCN (Parcel Control Number) in the previous step.
Street Address
SUITE#
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Required Documents
Proof of Ownership
*
Drag or Select A COPY OF PROOF OF OWNERSHIP (recorded warranty deed, PAPA statement or tax bill)
Drop files here or
Select files
Max. file size: 512 MB, Max. files: 10.
Business Owner's Drivers License
*
Please attach a scan or take a picture of your driver's License.
Drop files here or
Select files
Max. file size: 512 MB, Max. files: 2.
Copy of Paper Work
*
DRAG OR SELECT A COPY OF CORPORATE PAPERWORK/FICTITIOUS NAME/TRUST PAPERWORK
Drop files here or
Select files
Max. file size: 512 MB, Max. files: 10.
Business Name
*
Nature of Business and Brief Description of Business
*
Make Sure to Choose type of Business on the Previous Step.
If you do not properly fill out these required fields your application may be rejected or held until you supply all required details.
Number of Employees
*
Please put 0 if field does not apply.
Number of Machines
*
Please put 0 if field does not apply.
Number of Vehicles
*
Please put 0 if field does not apply.
Number of SQ Feet
*
Please put 0 if field does not apply.
Number of Seats
*
Please put 0 if field does not apply.
Number of Units
*
Please put 0 if field does not apply.
Number of Units/Tenant spaces
*
Please put 0 if field does not apply.
Number of Bedrooms
*
Please put 0 if field does not apply.
Number of coin/card operated machines
*
Please put 0 if field does not apply.
Inventory Amount
*
Please put 0 if field does not apply.
Number of professionals
*
Please put 0 if field does not apply.
Number of rooms (hotel/motel/bed & breakfast)
*
Please put 0 if field does not apply.
Hours of Operation
Please select the days you are open below and then fill out the hours in which you will be open on those days.
Days of Operation
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours of Operation on Sunday
Business Open Time
*
:
Hours
Minutes
AM
PM
AM/PM
Business Close Time
*
:
Hours
Minutes
AM
PM
AM/PM
Monday
Hours of Operation on Monday
Business Open Time
*
:
Hours
Minutes
AM
PM
AM/PM
Business Close Time
*
:
Hours
Minutes
AM
PM
AM/PM
Tuesday
Hours of Operation on Tuesday
Business Open Time
*
:
Hours
Minutes
AM
PM
AM/PM
Business Close Time
*
:
Hours
Minutes
AM
PM
AM/PM
Wednesday
Hours of Operation on Wednesday
Business Open Time
*
:
Hours
Minutes
AM
PM
AM/PM
Business Close Time
*
:
Hours
Minutes
AM
PM
AM/PM
Thursday
Hours of Operation on Thursday
Business Open Time
*
:
Hours
Minutes
AM
PM
AM/PM
Business Close Time
*
:
Hours
Minutes
AM
PM
AM/PM
Friday
Hours of Operation on Friday
Business Open Time
*
:
Hours
Minutes
AM
PM
AM/PM
Business Close Time
*
:
Hours
Minutes
AM
PM
AM/PM
Saturday
Hours of Operation on Saturday
Business Open Time
*
:
Hours
Minutes
AM
PM
AM/PM
Business Close Time
*
:
Hours
Minutes
AM
PM
AM/PM
Business Owner Information
Tax ID or Social Security Number
*
Business Owner's Name
*
First
Last
Business Owners Email if Different from What was Provided Earlier
Business Owner's Phone
*
Business Owner's Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Questionnaire Part 1
Will your business require any of the following?
Change in use or occupancy?
*
Yes
No
Require remodeling/renovation
*
Yes
No
Utilize outside storage?
*
Yes
No
Handle hazardous material
*
Yes
No
Sell alcoholic beverages?
*
Yes
No
Questionnaire Part 2
Are you Claiming any of the following?
Veterans Exemption
*
Yes
No
Disability Exemption
*
Yes
No
Non-Profit Exemption
*
Yes
No
Age Exemption
*
Yes
No
Applicants Name
*
Consent
*
I agree to sign digitally
Please type your full name to Sign
*
Email
This field is for validation purposes and should be left unchanged.
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