TOWN OF I N D I A L A N T I C

Brevard County, Florida 32903

APPLICATION FOR OCCUPATION LICENSE

 

 

APARTMENT/MOTEL RENTAL

 

Indialantic Town Code Sec. 9-11 Schedule of license taxes: The following enumerated license taxes shall be paid for the following named classifications of businesses, occupations and professions. Said rates or amounts are annual unless otherwise specified.

(1)APARTMENTS and/or other rental units, furnished or unfurnished, BED AND BREAKFAST, HOTELS AND MOTELS. Any concession shall constitute a separate business.

(A) Apartment with 5 or fewer units………….60.00

(B) Apartment with more than 5 units………100.00

 

DATE                          

                                                                             

NAME AND ADDRESS OF MOTEL/APARTMENT RENTAL UNITS

 

HOW MANY UNITS AT THIS ADDRESS                  

 

NUMBER OF PARKING SPACES AVAILABLE          

 

NAME AND PHONE # OF MANAGER_____________________________________________    

BUSINESS ENTITY:  INDIVIDUAL_____PARTNERSHIP______CORPORATION____

(List all partners if partnership; if corporation, list corporate officers as follows: Chairman,

 President, Secretary, Treasurer) DATE OF INCORPORATION_____________________

 

_________________________________________________________________________

NAME                ADDRESS           PHONE

_________________________________________________________________________

NAME                ADDRESS           PHONE

_________________________________________________________________________

NAME                ADDRESS           PHONE

 

 

 

NAME AND ADDRESS OF LOCAL EMERGENCY CONTACT PERSON:

 

 

 

__________________________________      _________________________________

Signature of Applicant                    Date

 

__________________________________

Name of Applicant (print)