APPLICATION FOR PAYMENT OF LOCAL BUSINESS TAX ORANGE ...
APPLICATION FOR PAYMENT OF LOCAL BUSINESS TAX ORANGE COUNTY, FLORIDA
Application is hereby made for the privilege of engaging in the business, profession, or occupation hereinafter described for the period designated. Business Name (DBA)________________________________________________________License Year______________________ Business Location_____________________________________________________________________________________________ Mailing Address______________________________________________________________________________________________ Phone Number_____________________Legal Description____________________________________________________________
(Continue on reverse if more space is required)
APPLICANT INFORMATION
Name_____________________________________Phone Number _____________________DOB (MM/DD/YYYY)_____________
Address_____________________________________________________________________________________________________
(Street Address)
(City)
(State)
(Zip Code)
Does applicant qualify for confidential status? Yes No
FULL CORPORATION DATA IS MANDATORY Full Corporate Name __________________________________________________________________________________________
___________________________________________________________________________________________
NAME AND RESIDENCE ADDRESSES OF OFFICERS
Name___________________________________________________Phone Number________________________________________
Address_____________________________________________________________________________________________________
(Street Address)
(City)
(State)
(Zip Code)
Name___________________________________________________Phone Number________________________________________
Address_____________________________________________________________________________________________________
(Street Address)
(City)
(State)
(Zip Code)
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NATURE OF OCCUPATION, PROFESSION OR BUSINESS
Fee
1._______________________________________________________________________
$___________________________
2._______________________________________________________________________
$___________________________
3._______________________________________________________________________
$___________________________
4._______________________________________________________________________
$___________________________
Total Due $___________________________
PROVIDE THE FOLLOWING INFORMATION (IF APPLICABLE)
Number of Employees______________ Number of Vehicles______________
Seating Capacity______________________
Number of Rooms_________________ Number of Amusement/Vending Machines_____________________________________
CERTIFICATION
I certify that the information contained herein is true and correct to the best of my knowledge and belief. If any portion is found to be false or misrepresented, such fact
may be just cause for immediate revocation of any business tax receipt issued to me. It is further understood that this business tax receipt is for the privilege of engaging
in the business, profession or occupation shown and only at the location shown hereon. I further understand that I have no right to occupy any buildings at the location
shown hereon unless I obtain a certificate of occupancy from the Building Department and such building and the surrounding property is in compliance with all
applicable local, state and federal regulations. Further, I recognize that issuance of this business tax receipt is in no way a waiver of any applicable local, state or federal
regulations. Failure to correct conditions on the premises that are in violation of the county code or to notify the Business Tax Department of any change will result in
revocation of said business tax receipt.
_______________________________________ ________________
___________________________
Applicant Signature
Date
By
MAKE CHECKS PAYABLE TO: "Orange County Tax Collector" or "Scott Randolph", P.O. Box 545100, Orlando, FL 32851-5100 IN PERSON: Orange County Tax Collector, SunTrust Building, 200 S. Orange Ave., Ste. 1600, Orlando, FL 32801
BUSINESS TAX RECEIPT DECLARATION
Nature of Business (list all services provided) __________________________________________________________________________________________________ __________________________________________________________________________________________________ Number of Employees__________________________________________________________________ Completed Business Tax Receipt Application (circle one) Yes / No
Certification/License Information (if applicable)
State Certificate Number ________________________ Expiration Date __________________________
Competency Card Number_______________________ Expiration Date __________________________
State Restaurant Number ________________________ Expiration Date __________________________
Florida Bar Card Number________________________ Expiration Date __________________________
Department of Finance Number___________________________________________________________
Department of Agriculture Number________________________________________________________
State License Number___________________________________________________________________
Copies of the following documents must be provided:
1. Florida Driver License;
2. City Business Tax Receipt, if applicable
4. State License(s), if applicable (i.e., Dept. of Business and
3. Sunbiz Registration
Professional Regulation, Dept. of Agriculture, Health Dept., etc.
ORANGE COUNTY ZONING INFORMATION
Please initial appropriate designation:
___ Mobile from a Residential District (your residence): Orange County Zoning Division approves this mobile business with the following conditions: No customers; no signs; no storage of equipment materials or products; no employees; home office only.
___ Mobile from a Non-Residential District: Orange County Zoning Division approves this mobile business with the following conditions: No customers; no signs; no outside storage of equipment materials or products; no employees; no office use.
___ Commercial/Office Business from Non-residential District
___ Home Occupation from a Residential District: There shall be no signage, no employees/customers at home, and no employee/customer parking. No more than twenty five percent (25%) of home to be used for business.
By submitting this application, you acknowledge the right to conduct this business at the proposed location does not supersede any private/public deed restrictions, terms of lease or restrictions that otherwise prohibit such use of the property. It is the applicant's responsibility to ensure compliance with all such parties.
Orange County Zoning Division approval for a mobile license from a residence or for a home occupation will require proof of residency at subject address.
MAKE CHECKS PAYABLE TO: "Orange County Tax Collector" or "Scott Randolph", P.O. Box 545100, Orlando, FL 32851-5100 IN PERSON: Orange County Tax Collector, SunTrust Building, 200 S. Orange Ave., Ste. 1600, Orlando, FL 32801
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