Business Tax Receipt Application Page 2
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1
23.
M
D
Y
OCUMENTS
All applicants shall provide a current copy of required documents (please attach):
□
Certificate of Use issued by Weston Building Code Services; information call 954-385-0500,
Or, if sub-tenant:
Copy of the Owner/Tenant’s Certificate of Use
Letter acknowledging the sub-tenant’s use of Owner/Tenant’s Certificate of Use
Of, if tenant of an Executive Suite:
Copy of the Executive Suite’s Certificate of Use
Executive Suite Affidavit and if applicable, Virtual Office Tenancy Affidavit
□
Business name registration with the State of Florida
And/or Fictitious Name Registration
□
All applicable regulatory licenses
□
In addition to the above, the following applicants are required to attach copies of:
•
LICENSED PROFESSIONALS –Current license from the applicable regulatory agency, i.e., Department of Business and
Professional Regulation; Department of Agriculture and Consumer Services; Department of Financial Services; Financial
Industry Regulatory Authority; Department of Health; Nationwide Mortgage Licensing System & Registry, etc.
•
ATTORNEY AT LAW & LAW FIRMS –The Florida Bar membership card.
•
CONTRACTORS AND INSPECTORS – Proof of insurance and regulatory license.
•
MOBILE FOOD VENDORS – Written approval for the operation of such a business from the Proof of Broward County
Health Department.
•
PEST CONTROL BUSINESS – Proof of insurance and a copy of current State of Florida permit.
•
PHARMACIES – Proof of Board of Pharmacy license.
•
PRIVATE DETECTIVES AND CRIMINAL INVESTIGATORS – Proof of State of Florida Class B or Class D license, for both
business name and individual.
4.
M
C
Y
ERTIFICATION
I hereby certify that all information given herein is true and accurate. I understand that providing false or misleading information
on this application may subject me to criminal prosecution. I further understand that if there are any subsequent changes in the
status of my business as stated above, that I will notify the City of Weston of such changes. I understand that the Business Tax
Receipt expires on September 30 and must be renewed each year.
Applicant’s Signature: _____________________________________________________ Date: ____________________________
Print Name: _____________________________________________________________ Title: _____________________________
5.
P
& M
I
AYMENT
AILING
NFORMATION
•
New Applications are to be mailed with required documentation and payment to:
City of Weston
17200 Royal Palm Boulevard
Weston, Florida 33326
•
Changes to current business tax file can be submitted via fax, 954-385-2010; or email, .
NOTE:
Applicable section of the Code, Title IV, Chapter 40, Business Tax
Receipts.
61055-v5
Business Tax Receipt Application Form
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