South Tyneside Council
Development Services – Licensing
Application/Renewal/Variation for a Licence to keep a Pet Shop
The Pet Animals Act 1951
South Tyneside Council is responsible for protecting the public funds it administers. To do this we may use the information you give us on this form or that is held about you to detect and prevent crime or fraud. We may also share this information with other bodies that audit and administer public funds.
For the purposes of the Data Protection Act 1998, South Tyneside Council is the Data Controller (the holder, user and processor) of the information. We will keep all information safe and secure.
If you would like to know more about what information we hold about you, or the way we use your information please contact the Licensing Team on 0191 4247949 or if you wish to make a subject access request then please write to the Records Management Team at the following address: Records Management Team, Town Hall & Civic Offices, Westoe Road, South Shields, Tyne and Wear. NE33 2RL
For a New/Renewal application please complete all parts of the form.
For a variation application please complete Parts (1)(3)(6) & (7)
Part 1 : Individual Applicants DetailsName(s)
Address including postcode
Date of Birth / Nat Ins Number
Phone number / Mobile Number
E-Mail Address
Other Applicants Details:
Name
Address (including postcode)
Registered Company Number / Phone Number
Description of applicant (e.g.Limited Company, Partnership etc)
Part 2: Previous convictions
Have you ever been convicted of any offence under: / YES / NO
The Animal Boarding Establishment Act 1963?
The Protection of Animals Act 1911 & 1964?
The Protection of Animals (Scotland) Act 1912 & 1964
The Pet Animals Act 1951 (as amended)?
The Dangerous Wild Animals Act 1976?
The Breeding of Dogs Act 1993?
The Riding Establishments Act 1964 & 1970?
Animal Welfare Act 2006
If yes please provide details:
Part 3: Premises Name
Trading Name
Part 4: Premises Details
Contact at the premises
Address of premises for which a licence is required
Telephone number
Name & address of key holder
Telephone number
Relevant qualifications
Number and size of rooms in which business will be carried out
What are your normal hours of opening?
Please state your normal times of attendance at the premises when they are closed
Do you have adequate isolation & quarantine facilities in case of infectious diseases? If yes, please provide details
Heating arrangements
Method of ventilation
Lighting arrangements (Natural/Artificial)
Water Supply
Arrangements for food storage
Arrangements for disposal of excreta
Fire safety precautions & equipment
Name & address of veterinary surgeon/practitioner
Telephone number
In the case of new applications:
Has planning permission to use the premises as a pet shop been obtained? / YES / NO
Part 5: Animals to be sold
Type of animal / Proposed Numbers / Details of accommodation / Age at which to be sold / Supplier(s)Name & Address
Parrots, Parakeets, Macaws
Pigeons
Other large birds
Budgerigars, Finches & other small birds
Dogs/Puppies
Cats/Kittens
Rabbits, Cavies, Hamsters & Degu
Chinchillas, Chipmunks, Ferrets
Rats & Mice
Tortoises
Reptiles e.g. Snakes/Lizards
Fish/Aquatic Invertebrates (cold-water, tropical, marine)
Invertebrates e.g. Chilean Rose Tarantula
Amphibians e.g. Frogs
Animals requiring a Dangerous Wild Animal Licence
Any other species (please specify)
Please Note: You will only be permitted to sell the type of animals which you have indicated on the application form above. Any changes to the type of animals for sale will require a variation to the application together with the appropriate fee.
Part 6: Variation
Please list below any additional animals to be sold
Type of animal / Proposed Numbers / Details of accommodation / Age at which to be sold / Supplier(s) name & address
Please give details of any other variation to licence:
Part 7: Declaration
I hereby certify that I am not disqualified from:
- Keeping any dangerous wild animals
- Keeping a dog
- Having the custody of animals
- Keeping a pet shop
- Keeping an animal boarding establishment
- Keeping a riding establishment
- Keeping a dog breeding establishment
I acknowledge that when an inspection is undertaken by a veterinary surgeon, the fees will be recharged to me following that inspection
I certify that to the best of my knowledge and belief, the above particulars are true
Signed
Date
Checklist
Please ensure the following are enclosed /completed
Fully completed application form
Copy of public liability insurance
Relevant fee (Cheque made payable to South Tyneside Council) or telephone payment by debit or credit card on 0191 4247695
For Office use only
Inspection Remarks:
Officer Inspecting premises:
Signature:
Date:
To be returned to: - Licensing Section, South Tyneside Council, Town Hall & Civic Offices, Westoe Road, South Shields, Tyne & Wear. NE33 2RL