G:\Zoning 2009\Forms and Sample documents\Website Documents\BTR\Affidavits\ auto_dealer_aff Modified:10.23.2012
City of Pompano Beach
Department of Development Services
Business Tax Receipt Division
100 W. Atlantic Blvd Pompano Beach, FL 33060
Auto Dealers Affidavit
Phone: 954.786.4668 / 954.786.4633 Fax: 954.786.4666
State of Florida}
County of Broward}
Business Name: ______________________________________________________________________________
Business Address: ____________________________________________________________________________
Pompano Beach, Florida Zip Code: __________________________
I _____________________________________ certify that all vehicles will be parked inside the building and there
(Print Name)
will be NO outside display or storage of any vehicles without first obtaining all necessary government permits and
approvals including but not limited to site plan approval and landscaping plan approval.
Signature: ________________________________
SWORN TO AND SUBSCRIBED before me this
____ day of _______________ 20 ____, in Pompano Beach, Broward County, Florida.
_____
_______________________________
Notary Public Notary Public, State of Florida
Seal of Office
___________________________________
(Print Name of Notary Public)
_______ Personally Known
_______ Produced Identification
Type of identification produced:
___________________________________
