HOME OCCUPATION LOCAL BUSINESS TAX APPLICATION

Pursuant to Chapter 14 of the Town of Hypoluxo Code of Ordinances, a request is hereby made for a Local Business Tax Receipt to operate and/or maintain a business, profession, trade, or occupation herein described within the Town of Hypoluxo.

BUSINESS NAME:

LOCATION ADDRESS:

MAILING ADDRESS IF DIFFERENT:

BUSINESS OWNER/OFFICER:

BUSINESS PHONE:BUSINESS FAX:

HOME PHONE:

FEDERAL ID #(OR) SOCIAL SECURITY #

(Section 205.0535(5), Florida Statutes requires that the Town obtain a federal employer identification number orsocial security number prior to issuing a business tax receipt.)

FICTITIOUS NAME REGISTRATION #

TYPE OF BUSINESS OR PROFESSION:

In accordance with Sec. 28-123 (a) Home Occupations, Town of Hypoluxo Code of Ordinances:

  1. No person other than members of the family residing of the premises shall be engaged in such occupation.
  2. The use of the dwelling unit for the home occupation shall be clearly incidental and subordinate to its use for residential purposes by its occupants, and shall under no circumstances change the residential character of the structure.
  3. 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. No signs, storage or display of merchandise or materials is permitted.
  4. No home occupation shall occupy more than 10 percent (10%) of the total living area of the residence and no accessory building freestanding or attached, shall be used for a home occupation.
  5. No traffic shall be generated by such occupation in greater volume than would normally be expected from a single residence.
  6. No equipment, tools, or process shall be used in such a home occupation which creates interference to neighboring properties due to noise, vibration, glare, fumes, odors or electrical interference. In the case of electrical interference, no equipment or process shall be used which creates visual or audible interference in any radio, telephone, or television receivers off the premises or causes fluctuations in line voltage off the premises.
  7. A home occupation shall be subject to all applicable town requirements, fees, and other business taxes.

IN SIGNING THIS FORM I STATE THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I HEREBY AGREE TO ABIDE BY ALL ORDINANCES, RULES, LAWS, AND REGULATIONS APPLICABLE TO SUCH BUSINESS WITH THE STATE OF FLORIDA, THE COUNTY OF PALM BEACH, AND THE TOWN OF HYPOLUXO. I UNDERSTAND THAT NON-COMPLIANCE WITH THESE REGULATIONS CAN RESULT IN FINES OF UP TO $500.00 PER DAY, SUSPENSION, OR REVOCATION OF THIS LOCAL BUSINESS TAX RECEIPT.

OWNER/AGENT SIGNATUREPRINT NAMEDATE

SWORN TO AND SUBSCRIBED BEFORE ME THIS______DAY OF ______20______

Personally Known_____ or Produced______as Identification.

Signature of Notary

SEAL

Name of Notary, Typed or Printed

LOCAL BUSINESS TAX RECEIPT #______CLASSIFICATION______RECEIPT #______

FEE $______CHECK #______CASH______DATE PD______REC’D BY______