HOME/ MOBILE BUSINESS TAX RECEIPT AND CERTIFICATE OF USE APPLICATION REQUIREMENTS

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HOME/ MOBILE BUSINESS TAX RECEIPT AND CERTIFICATE OF USE APPLICATION REQUIREMENTS All applicable documents must be submitted with applications For Business Tax Receipt & Certificate of Use: Application Completed in Full Proof of ownership (Property Appraisers) Home Owner Affidavit (If not the property owner) Social Security Policy (For the customer to keep) Payment of all applicable fees

FOR OFFICIAL USE ONLY CITY OF ST. CLOUD NEW BUSINESS INFORMATION FORM 1300 9th Street, St. Cloud, Florida 34769 Phone: 407-957-7297 Fax: 407-957-8412 Received By: Date Received: NEW BUSINESS INFORMATION Business Name: Business Address: Contact: Phone: Email: 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 FOR OFFICIAL USE ONLY 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

****ALL APPLICATIONS NOT FULLY COMPLETED WILL BE DENIED**** City of St. Cloud APPLICATION FOR HOME or MOBILE LOCAL BUSINESS TAX RECEIPT and CERTIFICATE OF USE 1300 9th Street, St. Cloud, Florida 34769 Phone: 407-957-7224 Fax.: 407-957-8412 FOR OFFICE USE ONLY TRANSFER Received by: License Type LICENSE # FEES Local Business Tax Rec. $ 56.28 DESCRIPTION OF BUSINESS Certificate of Use $ 25.00 Penalty Fess $ Application Fee $ 20.00 TOTAL FEES $ AMOUNT PAID $ Balance due MUST be paid in full BEFORE operating your business. BALANCE DUE $ ANY BUSINESS REQUIRING STATE LICENSE MUST PRESENT STATE LICENSE WHEN APPLYING BUSINESS NAME BUSINESS PHYSICAL ADDRESS BUSINESS MAILING ADDRESS CITY, STATE, ZIP BUSINESS PHONE BUSINESS OWNER NAME ADDRESS (CITY, STATE, ZIP) OWNER PHONE DATE OF BIRTH SS# OR FEIN# required by FS 205.0535(5) DRIVER S LICENSE NUMBER INDIVIDUAL PARTNERSHIP CORPORATION EMAIL ADDRESS PLEASE LIST OFFICERS AND TITLES (if applicable) I OWN PROPERTY WHERE BUSINESS IS LOCATED I DO NOT OWN PROPERTY WHERE BUSINESS IS LOCATED PROPERTY OWNER/MANAGER NAME: ADDRESS: PHONE NUMBER: FICTITIOUS NAME AFFIDAVIT THIS IS TO CERTIFY THAT THE BUSINESS LISTED IS EXEMPT FROM REGISTERING AS A FICTITIOUS NAME FOR THE FOLLOWING REASON: 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. CONTINUED ON REVERSE SIDE You are required to also obtain an Osceola County Business Tax Receipt. G:\FORMS\Licensing\Applications\Home - Mobile.doc

HOME/MOBILE OCCUPATION AFFIDAVIT REQUIREMENTS Definition: Home occupation An occupation conducted entirely within a dwelling unit providing it complies with conditions below Mobile Occupation An occupation where physical location is a dwelling unit used for office purposes only and whereby the actual business operation is performed someplace other than the dwelling unit providing it complies with conditions below a. No person other than members of the family residing on the premises shall be engaged in such occupation; b. The use of the dwelling unit for the home occupation shall be clearly incidental and subordinate to its use for residential purposed by its occupants, and shall under no circumstances change the residential character thereof; c. There shall be no change in the outside appearance of the building or premises, or other visible evidence of the conduct of such home occupation; and there shall be no storage of tools, equipment or materials on the premises; d. No home occupation shall be conducted in any accessory building; e. No home occupation shall occupy more than twenty (20) percent of the first floor area of the residence, exclusive of the area of any open porch or attached garage or similar space not suited or intended for occupancy as living quarters. No rooms which have been constructed as an addition to the residence, nor any attached porch or garage which has been converted into living quarters, shall be considered as floor area for the purpose of this definition until two (2) years after the date of completion thereof, as show by the records of the City building inspection division; f. No traffic shall be generated by such home occupation in greater volume than would normally be expected in a residential neighborhood, and any need for parking generated by the conduct of such home occupation shall be met off the street and other than in a required front yard; g. No equipment or process shall be used in such home occupation which creates noise, vibration, glare, fumes, odors, or electrical interference detectable to the normal senses off the lot, if the occupation is conducted in a single-family residence, or outside the dwelling unit if conducted in other that a singlefamily residence. In the case of electrical interference, no equipment or process shall be used which creates a visual or audible interference in any radio or television receiver off the premise; h. The following shall not be considered home occupations: Beauty shops, barber shops, band instrument or dance instructor, swimming instructor, studio for group instruction, public dining facility or tearoom, antique or gift shop, photographic studio, fortune telling or similar activity, outdoor repair, food processing, retail sales, nursery school, or kindergarten. The giving of group instruction of any type shall not be deemed a home occupation; i. The giving of individual instruction to one (1) person at a time such as an art or piano teacher, shall be deemed a home occupation; provided, however, that the provisions of subparagraph h. above shall apply to prohibiting individual instruction as a home occupation for those activities listed in subparagraph h, above; j. Fabrication of articles such as are commonly classified under the terms arts and handicrafts may be deemed a home occupation, subject to the other terms and conditions of this definition, and providing no retail sales are made at the home; k. A home occupation shall be subject to all applicable City occupational licenses and other business taxes; l. Home occupations are allowed as permitted uses in all residential zoning districts, except those zoning districts that list home occupations as special exceptions. Physical addresses must be used for all home occupation licenses. Post Office boxes are not to be used for any home occupation license address. m. A passenger vehicle for hire is permitted provided the following are met: 1) Limit of one passenger vehicle for hire on the property; 2) Vehicle is not a taxi; 3) The vehicle contains no advertisement or marking identifying it as a passenger vehicle for hire other than those required by a governmental permitting agency; and; 4) The vehicle must fit in the driveway or garage of the residence, and may not extend into the right-of-way. (Ord.2001-40, 09/27/01) I HAVE READ THE REQUIREMENTS AND AGREE WITH ALL REQUIREMENTS FOR CERTIFICATE OF USE AND LOCAL BUSINESS TAX. I ALSO AGREE, PER SECTION 18-101(2) ST CLOUD CITY CODE, THAT ANY ACTION CONTRARY TO THE TERMS OF SUCH AFFIDAVIT SHALL BE SUBJECT TO ENFORCEMENT AGAINST THE VIOLATOR IN THE MANNER PROVIDED BY FLORIDA STATUTE 162 OR 166.0415, SECTION 2-201 ET SEQ OF THE CITY CODE AND ALL OTHER AVAILABLE LEGAL AND JUDICIAL REMEDIES. applicant name (please print) applicant signature date 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 and who did/did not take an oath Notary Public commission number and expiration Notary Seal: Certificate of Use Approval Zoning Compliance Approved Signature date Approval comments APPROVED SUBJECT TO CONTINUED COMPLIANCE WITH ALL CONDITIONS LISTED ABOVE THAT ARE FOUND IN ARTICLE II/DEFINITIONS/HOME OCCUPATION OF THE LAND DEVELOPMENT CODE. Certificate of Use Denial Zoning Compliance Denied Signature date Denial Comments

PROPERTY OWNER AFFIDAVIT NOTIFICATION TO OWNER THAT THE TENANT IS OBTAINING A LOCAL BUSINESS TAX RECEIPT TO OPERATE A HOME BUSINESS WITHIN THE CITY OF ST. CLOUD. As Owner of the property located at Location of Property The City of St. Cloud, Florida, I am aware that my tenant Name of Tenant has applied for a local business tax receipt for the following business:, in Business Name Type of Business I am aware that if my tenant, for any reason, is found to be in non-compliance with any City of St. Cloud Codes, Ordinances or Laws relating to his/her business that I, as owner of said property, will be held responsible for any code enforcement action that may be necessary. If taken before the Code Enforcement Board a fine may be imposed pursuant to FS 162.09 (2) which shall not exceed $250.00 per day for a first violation, and shall not exceed $500.00 per day for a repeat violation. Property Owner Name (PRINTED) Property Owner Signature Property Owner Mailing Address State of Florida County of Osceola The foregoing instrument was acknowledged before me this day of,, by, who is personally known to me or who has produced as identification. Notary Public G:\FORMS\Licensing\Property Owner Affidavit.doc