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LOCAL BUSINESS TAX RECEIPT REQUIRED DOCUMENTS A $40.00 FILING FEE MUST BE SUMITTED WITH APPLICATION FEDERAL EMPLOYER I.D OR SOCIAL SECURITY IS REQUIRED ↙ INDICATES DOCUMENTS REQUIRED “X” INDICATES DOCUMENTS OBTAINED NEW BUSINESS, LOCATION, OWNER OR SHARING SPACE, TRANSFER HOME BASED BUSINESS: (10 %) OF LICENSE FEE NOT TO EXCEED ($25.00) ⃞ New Application (Form BTR-A) ⃞ New Application (Form BTR-A) ⃞ Home Based Business (Form H-A) ⃞ Tenant – Landlord Verification – Signed (Form T-L) ⃞ Drivers License And Proof Of Residence ⃞ Resolution Of Shareholders(Form R-S) ⃞ Resolution Of Shareholders (Form R-S) ⃞ Letter Of Sharing ⃞ Corporate Documents/ Fictitious Name Registration (SUNBIZ.ORG) ⃞ Corporate Documents/ Fictitious Name Registration (SUNBIZ.ORG) ⃞ ⃞ Material Safety Data Sheet (MSDS) if the business handles, stores, uses or Palm Beach County Business Tax Application generate hazardous material (Chap 9, Art VIII, Section9-121 HELPFUL NUMBERS: ⃞ Bill Of Sale or Closing Statement ⃞ Palm Beach County Tax Collector – 561-355-2272 ⃞ Drivers License ⃞ ⃞ Alcohol Beverage License – 561-650-6872 & 6873 Copy Of State License 111 S. Sapodilla Ave #111,West Palm Beach, Fl ⃞ ⃞ Certificate Of Competency – Palm Beach County Palm Beach County Tax Collector Application 561-233-5525 ⃞ Department Of Children And Families – 561-355-3023 CONTRACTOR & OUT OF CITY CONTRACTORS: 901 Evernia Street West Palm Beach 33401 ⃞ Food Service Certificate – 1-800-488-3951 ⃞ New Application (Form BTR-A) ⃞ Building Division – 561-742-6350 ⃞ Copy Of State License ⃞ ⃞ Div. Hotel & Rest. Approval – 850-487-1395 Certificate Of Competency 5080 Coconut Creek Parkway – Margate, Fl ⃞ Palm Beach County -Consumer Affairs – 800-435-7352 ⃞ County/County-Wide License From Palm Beach County – 561-233-5525 ⃞ Palm Beach County - Health Department – 800-547-6800 MORE HELPFUL NUMBERS ⃞ Internal Revenue – Non -Profit 501(c)3 – 800-829-1040 ⃞ Assisted living / Adult Daycare – (850-487-2515) ⃞ Contractor Certification – 561-233-5525 ⃞ Business and Professional Regulations – (850-487-1395) ⃞ ⃞ Federal Employer Identification Number (F.E.I) – 800-829-3676 Dept of Agriculture & Consumers Services – 850-410-3808 (IRS.GOV) **INSPECTIONS** ANY APPLICATION FOR A NEW LOCAL BUSINESS TAX RECEIPT IN AN EXISTING BUILDING WILL REQUIRE LIFE/SAFETY, BUILDING INSPECTIONS, TO INCLUDE: STRUCTURAL, ELECTRICAL, PLUMBING, MECHANICAL AND FIRE. AFTER OBTAINING A LOCAL BUSINESS TAX RECEIPT FROM THE CITY OF BOYNTON BEACH, APPLICANTS ARE REQUIRED TO OBTAIN A PALM BEACH COUNTY BUSINESS TAX RECEIPT AT ANY BRANCH OF THE PALM BEACH COUNTY TAX COLLECTOR: (561) 355-2272 S:\Planning\Business Tax\Occupational\forms\Applications\BOYNTON BEACH BUSINESS TAX RECEIPT Requirements Revised Aug 08.doc City of Boynton Beach Form BTR-A APPLICATION FOR LOCAL BUSINESS TAX RECEIPT BTR Number: NOTE: APPLICATION IS NOT THE ISSUED BUSINESS TAX RECEIPT 100 E. BOYNTON BEACH BOULEVARD, BOYNTON BEACH, FL 33425 561-742-6360 Address Transfer Home Classification Code: New Business: Out of City Change: or Other: Based Business Name/Fictitious Name (DBA): Amount Due: Corporation Name: Drivers License: Business Address: City, State, Zip: SSN# or FEI [Required by F.S. 205.0535(5)] Mailing Address: City, State, Zip: Business Phone, Fax: E-Mail Address: ***IF WORKING FROM HOME, PLEASE FILL OUT FORM H-A *** Owner’s Name: Owner’s Address: Are you Claiming Exemptions? Yes: ________ No: ________ City: State Zip Code Phone # **Disabled Veterans/Aged Exemption- Form BT-E** Merchants: Inventory of ☑ ☑ Merchandise for resale at peak season. CHECK ONE CHECK ONE Retail Merchant Wholesale BUSINESS OWNER REGISTERED CORPORATION Inventory Value Merchant Inventory Value AGENT MANAGER BROKER OF SOLE PROPRIETORSHIP $ $ CONTRACTOR RECORD PARTNERSHIP (supplemental form required) OTHER TYPE OF BUSINESS: Describe type of business in detail to enable the City to determine proper classification for the Local Describe Previous Business Use at this Business Tax Receipt. ***Some business and or profession requires a state license, copy must be provided*** address: *** IF THE BUSINESS HANDLES, STORES, USES or GENERATE HAZARDOUS MATERIAL, ATTACH MSDS Chapter 9, Art VIII, Section 9-121*** Gross Square Footage: NOTE: List all names and addresses of partners and officers of corporation below, or attach separate sheet. Number of Seats/Stations (Restaurant, Salons, etc): __________ Passenger Capacity (Boats-Recreational/Commercial, etc): __________ Number of Vehicles (Trucking/Taxi/Vehicle for Hire, etc): __________ Number of Employees: __________ Number of Rooms (Nursing Care/ALF/Hotel/Motel/Rental Properties: __________ Number of Machines/Tables: __________ The undersigned does hereby request that a local business tax receipt be issued on the basis of the above provided information with the understanding that all City of Boynton Beach Ordinances shall be complied with, whether specified herein or not. Owner’s/Applicant’s Signature: __________________________________ Date: ______________________ Emergency Contacts: Name & Address: Home Phone Cell Phone Name & Address: Home Phone Cell Phone All Assisted Living Facilities/Group Homes within the City of Boynton Beach are requires approval from the State of Florida. Assisted Living Facilities/Group Homes with 6 or more occupants require inspections for a change of use and occupancy. RENEWAL IS DUE EVERY SEPTEMBER 30TH For Office Use Only Date of Business Tax Inspection: Date:___________ Time:__________ Name:__________________ Building Inspection Comments: Fire Safety Comments: Signature: Signature: ZONING ADEQUATE DISTRICT: PCN: PARKING: BUSINESS COMMENTS / RESTRICTIONS: SPECIAL APPROVAL REQUIRED: ___________ USE: _________________________________________________________________ (All Conditional Uses must receive City Commission approval and all Mobil Vending Units must receive Board approval prior to the issuance of a Local Business Tax Receipt.) APPROVAL DATE: _________________________________ BUSINESS TAX RECEIPT APPLICATION ROUTING AND APPROVALS (If rejected, attach comment sheet.) ZONING VERIFICATION: BY: _______________________________________________________ DATE: ____________________ BUSINESS TAX APPROVAL: BY: _______________________________________________________ DATE: ____________________ S:\Occupational\forms\Applications\BOYNTON BEACH BUSINESS TAX RECEIPT(Form BTR-A)revised Dec 09.doc CITY OF BOYNTON BEACH DEPARTMENT OF DEVELOPMENT FORM T-L BUSINESS TAX DIVISION P.O. BOX 310 100 E. BOYNTON BEACH BLVD. BOYNTON BEACH, FL 33425 (561) 742-6360 – FAX (561) 742-6364 TENANT/LANDLORD VERIFICATION I, the undersigned property owner, owner’s agent, property manager, or landlord of the property located at ________________________________________________________ Boynton Beach, Florida, zip code _______________, do hereby confirm that the business known as, or the party named ________________________________________________ has permission to conduct business at this address upon securing a City of Boynton Beach Business Tax. Property Owner or Owner’s Agent: ____________ ____________________________________ Date Signature _____________________________________ ______________________________ Printed Name Title Party securing tenancy: ____________ ____________________________________ Date Signature _____________________________________ ______________________________ Printed Name Title S:\Occupational\forms\Applications\Tenant Landlord Verification (Form T-L) Revised Aug 08.doc STATE OF FLORIDA Form R-S SS: COUNTY OF PALM BEACH RESOLUTION OF SHAREHOLDERS AND DIRECTORS The undersigned directors of ________________________________ Inc., a Florida corporation (hereinafter “Corporation”), and being all the directors of the Corporation, do hereby unanimously consent in writing to the following action and adopt the following Resolution. BE IT RESOLVED as follows: The Board of Directors discussed the necessity of obtaining a business tax receipt (formerly known as occupational license) from the City of Boynton Beach to operate the corporation’s business. The Board of Directors finds that _____________________, as_____________________ NAME TITLE of the Corporation is hereby authorized to bind the Corporation in its application to the City of Boynton Beach for an occupational license. ______________________ ____________________________________ DATE SIGNATURE S:\Planning\Business Tax\Occupational\forms\Applications\Resolution of Shareholders and Directors (Form R-S) Revised Nov 09.doc Links for required non-City of Boynton Beach Business Tax forms Corporate Documents/Fictitious Name Registration http://www.sunbiz.org/ Palm Beach County Business Tax Application http://www.taxcollectorpbc.com/services_business_forms.shtml
"Boynton Commercial Business Tax Certificate Application"