City of Miami Beach, 1755 Meridian Ave, Suite 100, Miami Beach, Florida 33139 | www.miamibeachfl.gov
FINANCE DEPARTMENT
REGISTRATION FEE: $25.00
APPROVED BTR#:
1. BUSINESS START DATE:
7. OPERATOR INFORMATION:
NAME:
2. TYPE OF STATE LICENSE : DIVISION OF HOTEL & RESTAURANT
ADDRESS:
DEPARTMENT OF ALCOHOL,TOBACCO& FIREARMS
CITY,STATE,ZIP
DEPARTMENT OF AGRICULTURE
PHONE NUMBER:
E-MAIL:
3. TYPE OF BUSINESS :
CORPORATION (ARTICLES OF INC)
DRIVERS LICENSE #:
PARTNERSHIP
SOCIAL SECURITY #:
TRUST (COURT ORDER)
INDIVIDUAL OTHER
8. OPERATOR INFORMATION:
4. KIND OF BUSINESS : APARTMENT HOTEL/MOTEL
NAME:
BAR/NIGHT CLUB RESTAURANT
ADDRESS:
BOARDING/ROOMING
CITY,STATE,ZIP
PHONE NUMBER:
5. BUSINESS INFORMATION:
E-MAIL:
NAME: DRIVERS LICENSE #:
ADDRESS: SOCIAL SECURITY #:
CITY, STATE,ZIP
PHONE NUMBER:
FL SALES TAX#:
FED ID#:
10 .CONTACT PERSON:
6. OPERATOR INFORMATION:
NAME:
NAME: ADDRESS:
ADDRESS: CITY, STATE,ZIP
CITY, STATE,ZIP PHONE NUMBER:
PHONE NUMBER: E-MAIL:
E-MAIL:
DRIVERS LICENSE #:
SOCIAL SECURITY #:
CERTIFICATE # REGISTRATION #
YEARLY MONTHLY
FORMER CERTIFICATE #
We are committed to providing excellent public service and safety to all who live work and play in our vibrant, tropical, historic community.
OPERATORS SIGNATURE :
OPERATORS SIGNATURE :
OPERATORS SIGNATURE :
PLEASE DO NOT WRITE IN THIS SPACE
RESORT TAX APPLICATION
*
Please fill out and submit this form, if you have an approved BTR*
9. NUM. OF ROOMS/APTS OR SEATING:
CITY OF MIAMI BEACH CODE SECTION 102 PROVIDES FOR IMPOSING A 4% RESORT TAX
ON
OCCUPANCY OF HOTEL ROOMS, MOTEL ROOMS, APARTMENT HOUSES, APARTMENT HOTELS,
ROOMING HOUSES, AND BOARDING HOUSES; AND A 2% RESORT TAX ON THE
SALE OF ALCOHOLIC
BEVERAGES, FOOD AND BEVERAGES, AND PROVIDING FOR THE
COLLECTION THEREOF. A SEPARATE
APPLICATION MUST BE FILED FOR EACH PLACE OF
BUSINESS THAT IS COVERED BY THE CODE.
A RESORT TAX REGISTRATION CERTIFICATE shall not be transferable or assignable and shall be valid only
for the person, firm or corporation to whom issued, and such certificate shall be placed in a conspicuous
place in the business for which it is issued, and so displayed at all times.
INSTRUCTIONS
1 Enter business start date.
This date should be the actual date for which the business is expected
to open (or a reasonable approximation).
2 Check type of state license.
(Required)
3 Check type of business and attach appropriate documentation indicated.
(Applicable
attachments are required)
4 Check kind of business.
5 Provide information requested for business that is registering. (If Corporation, provide
corporate name and d/b/a.
Business address should be the Miami Beach address for which
the certificate is being requested.
6-8
Provide information requested for operator(s) of business. If the business is a corporation,
information for all officers needs to be provided. Home addresses and telephone numbers are
required.
(Business address & telephone number will not be accepted as the address of record
for the operator).
Signature of operator and date. (Required)
9 Indicate number of rooms/apts or seating capacity of restaurant and/or bar.
10 Indicate the name, address, and telephone number of the person who will be completing and
signing the reports to be submitted.
(Place mailing address here if different than business or
operator address).
11 Return application with registration fee to address provided.