Fillable City of Pompano Beach Application for BTR for (City of Pompano Beach)

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City of Pompano Beach Application for BTR for (City of Pompano Beach)

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BROWSE CITY OF POMPANO BEACH (FL) FORMS

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G:\Zoning 2009\Forms and Sample documents\Website Documents\BTR\Applications\rental_app.pdf Modified:
9.23.2019
City of Pompano Beach
License Year
_____________
Department of Development Services
Business Tax Receipt Division
100 W. Atlantic Blvd Pompano Beach, FL 33060
Application for BTR for Rental Property
Phone: 954.786.4654 Fax: 954.786.4666 Email: Linda.cebrian@copbfl.com
Owner’s Name (s) ___________________________________________________ Date___________________
Type of Ownership: Corporation LLC Partnership Sole Proprietor
Owner’s Social Security XXX-XX- _______ OR Owner’s FEIN # ___________________
Address of the Property __________________________________________________ Zip ________________
Type of Rental Unit: Single-family Home Duplex Triplex Fourplex Condo / Townhome
Name of Applicant __________________________________________________________________________
Mailing Address__________________________City____________________State_________Zip__________
Business Phone __________________________ Home Phone _____________________________
E-Mail Address_____________________________________
Giving false information on this application is unlawful and may result in prosecution, suspension or revocation of your
Business Tax Receipt.
_______________________________________
(Print)
X_________________________________________
Owner, Partner, or Corporate Officer’s Name Owner, Partner, or Corporate Officer’s Signature
FOR STAFF USE ONLY (DO NOT WRITE BELOW THIS LINE)
Transfer of:
Name
Ownership
Address
New
Inventory Increase
Category change
Transferred Account No.: Transferred License No.:
Zoning District:
Paid by: Cash
Check No.
Date Paid: Receipt No.:
The above described
business has been
determined to be
in compliance with use requirements of the district in which the activity is proposed to be located.
not in conformance with the use requirements of the district in which the activity is proposed to be
located.
Category:
Account Number:
Ord. No.:
Zoning Fee:
Zoning Official:
Administrative Fee:
Penalty Fee:
Business Tax Receipt Official:
Business Tax Fee:
Transfer Fee:
Total $:
Date Issued:
Sub Total:
City of Pompano Beach
Department of Development Services
Planning & Zoning Division
100 W. Atlantic Blvd Pompano Beach, FL 33060
Zoning Use Certificate
Phone: 954.786.4654 Fax: 954.786.4666 RENTAL HOUSING $30.00 Processing Fee
G:\Zoning 2009\Forms and documents\Website Documents\Word Documents\BTR\Applications\PDF\zoning_use_cert_rental_app.doc
Modified: 9.23.2019
• Approval of a Zoning Use Certificate does not give you permission to open for business.
• You must complete a Business Tax Receipt application and pay the appropriate fees before opening for business.
• Approval of a Zoning Use Certificate is only good for 60 days, after which you must re-apply and pay a new fee.
Type of Rental Unit (√)
Single
-Family Home Duplex
Condo / Town House
Triplex/ Fourplex
Applicant Rental Property Information
Print Name and Title
Name of Business (or Sole Proprietor)
Street Address Street Address
Mailing Address City/ State/ Zip Mailing Address City/ State/ Zip
Phone
Number
Phone
Number
Fax
Number
Fax
Number
Email Email
Signature Date
24 hour contact person / Local Designated Representative
24-hour contact person shall maintain a residence or permanent place of business within the
jurisdictional limits of Palm Beach, Broward or Miami-Dade Counties.
Print Name and Title
Name of Business (if applicable)
Mailing Address City/ State/ Zip
Email
Phone Number
FOR STA
FF USE ONLY (DO NOT WRITE BELOW THIS LINE)
Zoning District: Paid by: Cash Check No. ___________
(non-refundable)
Date Paid: Receipt No.:
The above
described business
has been
determined to be
in compliance with use requirements of the district in which the activity is proposed to be
located.
not in conformance with the use requirements of the district in which the activity is proposed
to be located.
Additional comments:
Reviewed by: Approved:
Denied:
Date:
Date Applicant Notified:
City of Pompano Beach
Department of Development Services
Planning & Zoning Division
100 W. Atlantic Blvd Pompano Beach, FL 33060
Zoning Use Certificate
Phone: 954.786.4654 Fax: 954.786.4666 RENTAL HOUSING $30.00 Processing Fee
G:\Zoning 2009\Forms and documents\Website Documents\Word Documents\BTR\Applications\PDF\zoning_use_cert_rental_app.doc
Modified: 9.23.2019
AFFIDAVIT: DWELLING UNIT OCCUPANCY
State of Florida}
County of Broward}
I am the of the property
(Print Name) (Property Owner or Local Designated Representative)
located at in the City of Pompano Beach, FL.
(Address)
I acknowledge that I have been advised of and understand the provisions of the City of Pompano Beach Code of
Ordinances Chapter 153, pertaining to Rental Housing (copy attached). I agree that the property listed above shall be in
compliance with Code of Ordinances Chapter 153, and as well as all city code requirements.
I acknowledge that I have been advised of and understand the provisions of the City of Pompano Beach Zoning Code
Article 9 pertaining to the definition of “Dwelling Unit” and “Family”. I agree that the property listed above shall be in
compliance with the Zoning Code Article 9 definitions of “Dwelling Unit” and “Family”, unless otherwise authorized
pursuant to other provisions of the Pompano Beach Code of Ordinances.
Zoning Code Article 9
Dwelling Unit - “A room or combination of connected rooms within a dwelling that constitutes a single and separate
habitable unit that contains independent living, sleeping, and sanitation facilities (and may or may not contain cooking
facilities), and that is used or designed for occupancy on a weekly or longer basis by only one family. The term “dwelling
unit” shall also include a habitable unit licensed by the state to provide a family living environment and care for a group
of six or fewer unrelated persons who meet statutory definitions of a frail elder (Fla. Stat. §429.65), physically disabled or
handicapped person (Fla. Stat. §760.25), developmentally disabled person (Fla. Stat. §393.063), nondangerous mentally
ill person (Fla. Stat. §394.455), child determined to be dependent (Fla. Stat. §39.01 or §984.03), or child in need of
services (Fla. Stat. §984.03 or §985.03), and that may include such supervision and care by supportive staff as may be
necessary to meet the physical, emotional, and social needs of the residents.”
Family - “An individual or two or more persons related by blood, marriage, state-approved foster home placement, or
court-approved adoption—or up to three unrelated persons—that constitute a single housekeeping unit.”
BEFORE ME, the undersigned authority, personally appeared (P
RINT
N
AME
) who after
being duly sworn, deposes and says: That I am the person whose signature appears below, and that the
information I have provided above in this document is true and correct.
Signature: ______________________________________
SWORN TO AND SUBSCRIBED before me this ____ day of _______________ 20 ____, in Pompano Beach, Broward
County, Florida.
Notary Public _________________________________
Seal of Office Notary Public, State of Florida
_________________________________
(Print Name of Notary Public)
___________________Personally Known
_______________Produced Identification
Type of identification Produced:
_________________________________
Print
Pompano Beach, Florida Code of Ordinances
§ 113.41 RENTAL HOUSING.
(A) The owner of every rental structure, structures containing a rental unit or units, or
individually owned units, which are utilized as a dwelling for residential living purposes
must obtain a business tax receipt for each rented structure or unit, including, but not
limited to, single-family homes and condominium units, when the structure or any
portion thereof is rented and not owner-occupied. All such rental structures and rental
units shall comply with all minimum standards in Chapter 153: Rental Housing Code.
(B) All rental units and structures utilized as residential dwellings shall comply with all
designated permitted lawful uses for the zoning district in which the rental unit or
structure is located as set forth in Chapter 155: Zoning Code, and the use of said
property for rental purposes shall not alter any such permitted uses.
(C) (1) All residential dwelling rental structures and rental units shall be subject to
inspection by the city’s Code Inspectors for compliance with all applicable Zoning,
Building, Housing and Fire Code requirements, and for compliance with all requirements
for rental housing in Chapter 153.
(2) Whenever a property containing a rental residential dwelling is sold or
otherwise changes ownership, the new owner must:
(a) Apply for a new business tax receipt; and
(b) For any rental single-family home, schedule and obtain an inspection of the
home by the city’s Code Inspectors, to ensure compliance with all applicable Zoning,
Building, Rental Housing and Fire Codes, and that all uses of the property are lawful
and permitted. This inspection shall be required within 60 days of application as part of
the application process for issuance of the new business tax receipt. Failure to obtain
and pass such inspection shall be grounds for revocation of any business tax receipt
issued. No fees paid for any business tax receipt shall be refunded upon any such
revocation.
(Ord. 2007-57, passed 7-10-07; Am. Ord. 2008-47, passed 6-24-08; Am. Ord. 2014-09,
passed 12-10-13)
Page
1
of
1
CHAPTER 113: BUSINESS TAX RECEIPTS xx
9/
23/
2019
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City of Pompano Beach Application for BTR for (City of Pompano Beach)

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Completed 14 July 2020

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