Fillable Alcoholic Beverage Off Premise Catering License/Permit Application (City of South Fulton)

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Alcoholic Beverage Off Premise Catering License/Permit Application (City of South Fulton)

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The Alcoholic Beverage Off Premise Catering License/Permit Application (City of South Fulton) form is 4 pages long and contains:

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  • 12 check-boxes
  • 50 other fields

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BROWSE CITY OF SOUTH FULTON (GA) FORMS

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Alcoholic Beverage Off Premise Catering License/Permit Application
(For Resident Caterers Only)
City of South Fulton Alcoholic Beverage Licensee Information
Business Name
COSF Alcohol Beverage License #
Business Address with Suite/Unit
City
State
Zip Code
Licensee/Registered Agent Name
Licensee/Registered Agent Phone Number
Licensee/Registered Agent Email
Owner Name
Owner Phone Number
Owner Email
Type of Alcoholic Beverage License Held: (check all that apply)
Consumption on the Premises: Malt Beverages Wine Distilled Spirits
Quantity of Alcoholic Beverages to be Transported from Primary Location to Event:
Select type applying for:
☐ Off Premise Annual Alcohol Catering License $200.00
(For resident caterers who have multiple events throughout the year and wish to obtain catering license.
Licenses issued between July 1
st
and December 31
st
are will be prorated at $100)
☐ Off Premises One-Time Alcohol Catering Permit $50.00 per event
(For resident caterers who wish to obtain alcohol permits as needed throughout the year. You will complete
application for every event with this option.
Rules and Regulations
License/Permit Requirements - Resident Caterers
Any alcoholic beverage retailer possessing a valid license from the City of South Fulton to sell malt beverages, wine or distilled
spirits by the drink at a fixed location within the city may apply for an off-premise license that authorizes sales at authorized catered
event(s) or function(s).
Off-premises catering license/permit as authorized may be issued on annual or per event basis.
The fee for annual catering license is $200 and $50 for permit.
It shall be unlawful for any person to engage in, carry on or conduct the sale or distribution of alcoholic beverages off premises and
in connection with a catered event or function without first having obtained a license/permit as provided herein.
The quantity of alcoholic beverages to be transported from the licensee’s primary location to the location of the authorized catered
event(s) or function(s)
The original off-premises event permit shall be kept in the vehicle transporting the alcoholic beverages to the catered event(s) or
function(s).
Excise taxes must be paid and submitted to finance in the amounts set forth in the Alcoholic Beverage Ordinance of the City of
South Fulton.
A licensed alcoholic beverage caterer may sell or otherwise dispense only that which is authorized by their current COSF alcoholic
beverage license.
Sunday sales. An alcoholic beverage caterer wishing to cater an event or function on Sunday must comply with the requirements
of state law with respect to the service of alcoholic beverages on Sunday.
In addition to COSF alcohol special event permit, applicant must also obtain a State special event permit before any alcoholic
beverage can be served or sold in the City of South, (this includes Alcoholic Beverage Manufacturers). The state special event
permit is obtained after the city alcohol special event is obtained. State special event permit can be obtained by contacting the
Georgia Department of Revenue.
The Following Must be Attached for Complete Submittal: (Check-Off)
☐ Completed Application
☐ Nonrefundable Application $150 and Catering License or Permit fee listed above
☐ Alcohol Off Premises Event Permit Application (There is no additional application fee for this application)
☐ Copy of Administrative/Special Event Permit issued by the City’s Community Development and
Regulatory Affairs if applicable.
Citizenship Affidavit for Public Benefits and E-Verify Affidavit
☐ Schedule of proposed events and any advertisements.
☐ Copy of Contract/Rental Agreement for location.
☐ Copy of State Issued Photo Identification
AFFIDAVIT
Georgia, Fulton County
I, (print name) under oath, do hereby solemnly swear that (a) I have read
and understand the requirements set forth above and otherwise provided pursuant to Title 16 of the City of South Fulton, Georgia,
Alcoholic Beverage Ordinance, in order to procure this license/permit, and the licensee and/or licensed premises presently meet all of the
requirements to be eligible to obtain this license/permit. I further swear that the information I have provided herein or otherwise to the
City is true, and that I have made no knowingly false or fraudulent statement to the City in order to procure the granting of this
license/permit. In making the foregoing representation under oath, I understand that any person who knowingly and willfully makes a
false, fictitious, or fraudulent statement or representation in this affidavit shall be guilty of a violation of O.C.G.A. § 16-10-20, and face
criminal penalties as allowed by such criminal statute.
Signature of Applicant
Subscribed and sworn to before me
This the day of , 20 .
(Signature of Notary Public)
Printed Notary Name
My commission expires:
___________________________________________________________________________________________________________
For Office Use Only
Application Received by Investigator _____________________________________ Date Received _________________
Print Name Time Date Stamp
Application Meets all Requirements for License Application does NOT meet Requirements
Application APPROVED DENIED
____________________________________________________ ______________________
Chief of Police Signature Date
Edmunds Receipt Invoice #________________________ Catering License/Permit #:____________________________
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Affidavit Verifying Status for City Public Benefit
Pursuant to O.C.G.A. § 50-36-1(e)(2)
By executing this affidavit under oath, as an applicant for a(n) ____alcohol license_______________
[type of public benefit], as referenced in O.C.G.A. § 50-36-1, from City of South Fulton_ [name of government entity],
the undersigned applicant verifies one of the following with respect to my application for a public benefit:
1)
I am a United States citizen.
2)
I am a legal permanent resident of the United States.
3)
I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act
with an alien number issued by the Department of Homeland Security or other federal
immigration agency.
My alien number issued by the Department of Homeland Security or other federal
immigration agency is ____________________________.
The undersigned applicant also hereby verifies that he or she is 18 years of age or older and has provided at least
one secure and verifiable document, as required by O.C.G.A.
§ 50-36-1(e)(1), with this affidavit.
The secure and verifiable document provided with this affidavit can best be classified as:
_____________________________________________________________________________.
In making the above representation under oath, I understand that any person who knowingly and willfully makes
a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of
O.C.G.A. § 16 -10-20, and face criminal penalties as allowed by such criminal statute.
Executed in ________________________________________ (city) ______________(state)
________________________________________ Signature of
Applicant
________________________________________ Printed Name
of Applicant
SUBSCRIBED AND SWORN BEFORE ME
ON THE
_____ DAY OF __________________, 20___
NOTARY PUBLIC
My Commission Expires:
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Page 4 of 4 SFOPC (10/25/19)
E-Verify Affidavit
Private Employer Affidavit Pursuant to O.C.G.A. § 36-60-6(d)
By executing this affidavit under oath, the undersigned private employer verifies one of the following with respect to
its application for a business license, occupational tax certificate, or other document required to operate a business as
referenced in O.C.G.A. § 36-60-6(d):
Section 1.
Please check only one:
(A)
On January 1
st
of the below signed year, the individual, firm, or
corporation employed more than ten (10) employees.
(B) On January 1
st
of the below signed year, the individual, firm, or
corporation employed ten (10) or fewer employees.
*** If the employer selected Section1(A), please fill out Section 2 below.
Section 2.
The employer has registered with and utilizes the federal work authorization program in accordance with the
applicable provisions and deadlines established in O.C.G.A. §36-60-6. The undersigned private employer also
attests that its federal work authorization user identification number and date of authorization are as follows:
Name of Private Employer
Federal Work Authorization User Identification Number
Date of Authorization
------------------------------------------------------------------------------------------------------------------------
I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on this day ______ of
______________________, 20 in _________________________(city), ______(state).
Signature of Authorized Officer or Agent
Printed Name and Title of Authorized Officer or Agent
SUBSCRIBED AND SWORN BEFORE ME
ON THIS THE DAY OF , 20 .
NOTARY PUBLIC
My Commission Expires:
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Alcoholic Beverage Off Premise Catering LicensePermit Application (City of South Fulton)

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Completed 2 August 2020

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