Fillable Zoning Use Certificate Part 1 of 2 include (City of Pompano Beach)

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Zoning Use Certificate Part 1 of 2 include (City of Pompano Beach)

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U.S.A. forms for City of Pompano Beach

BROWSE CITY OF POMPANO BEACH (FL) FORMS

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Part 1 of 2
Department of Development Services
RETURN TO: BUSINESS TAX RECEIPT DIVISION
100 W. Atlantic Blvd Pompano Beach, FL 33060
Zoning Use Certificate
Phone: 954.786.4668 or 954.786.4633 Fax: 954.786.4666 $30.00 Processing Fee
G:\Zoning 2009\Forms and documents\Website Documents\Word Documents\BTR\Applications\PDF\zoning_use_cert_app.doc Modified: 9.16.2019
All information must be provided and must be legible.
Lying or misrepresentation in the application can lead
to revocation. (155.8402.B. Revocation of Approval)
Part 2 is applying and paying for the Business Tax Receipt
Zoning Use Certificate approval expires in 60 days, after
which you must re-apply and pay a new fee.
Does this
business
include any of the
following?
Circle Yes or No for
each.
Sales of Liquor, Beer, or Wine
Yes
No
Restaurant
Yes
No
Sales of New Merchandise or Cars
Yes
No
Place
of Worship
Yes
No
Sales of Used Merchandise or Cars
Yes
No
Child Care
Yes
No
Manufacturing
Yes
No
Home Based Business
Yes
No
Outdoor Use (Storage, Display, Seating, Play Area, etc…) Yes
No
Sexually Oriented Business Yes No
P
rovide a detailed
description of the
business, include a
description of the type
of services provided or
the products to be sold
or manufactured.
Number of
Employees
Square Feet
occupied
Sharing Space with another
Business?
Applicant Information Business Information
Print Name and Title
Name of Business
Street Address
Street Address
Mailing Address City/ State/ Zip
Mailing Address City/ State/ Zip
Phone
Number
Phone
Number
Email Email
The undersigned does understand that all City of Pompano Beach Ordinances shall be complied with whether
specified or not and all information supplied on this application shall become public record. If the business
involves outdoor sales or storage, a site plan is required. If the business involves a use other than retail,
wholesale or manufacturing, a floor plan and site plan are required.
Signature
Date
FOR STAFF USE ONLY
(DO NOT WRITE BELOW THIS LINE)
Zoning District: Paid by: Cash Check No. ___________
(non-refundable)
Date Paid: Receipt No.:
The above described
business has been
determined to be
in compliance with use requirements of the district in which the activity is proposed to be located.
not
in conformance with the use requirements of the district in which the ac
tivity is proposed to be located.
Comments:
Reviewed by: Approved:
Denied:
Date:
Date Applicant Notified:
G:\Zoning 2009\Forms and documents\Website Documents\BTR\Affidavits\Updated_2013\OutdoorActivities.doc Modified 9.9.2013
City of Pompano Beach
Department of Development Services
Business Tax Receipt Division
100 W. Atlantic Blvd Pompano Beach, FL 33060 Affidavit: Outdoor Activity and/or
Phone: 954.786.4668 / 954.786.4633 Fax: 954.786.4666 Outdoor Storage Restriction
State of Florida}
County of Broward}
Name of Owner ______________________________________________________
(Print Name)
Name of business _____________________________________________________
(Print Name)
Business Location _____________________________________________________
(Street Address)
Pompano Beach, FL ___________________________
(Zip Code)
There will be NO outside business activities or outdoor storage at the above referenced property.
BEFORE ME, the undersigned authority, personally appeared (PRINT NAME)
who after being duly sworn, deposes and says: That I am the person whose signature appears below,
and that the information I have provided above in this document is true and correct.
Signature: ________________________________
SWORN TO AND SUBSCRIBED before me this
____ day of _______________ 20 ____, in Pompano Beach, Broward County, Florida.
____________________________________
Notary Public Notary Public, State of Florida
Seal of Office
___________________________________
(Print Name of Notary Public)
_______ Personally Known
_______ Produced Identification
Type of identification produced:
___________________________________
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Zoning Use Certificate Part 1 of 2 include (City of Pompano Beach)

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Completed 14 July 2020

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