Revised 1/6/2017 Town of Fort Myers Beach Page 1 of 2
2525 Estero Blvd., Fort Myers Beach, Florida 33931
Phone: 239-765-0202 Permits@FortMyersBeachFL.gov Fax: 239-765-0909
COMMUNITY DEVELOPMENT DEPARTMENT
Supplement AA-C
Consumption-on-Premises
This is the second part of a two part application. Please be sure to include the Administrative
Action Application, which requires general information, with this supplemental form requiring
specific information regarding a Consumption-on-Premises request. (Only use this form if LDC
Section 34-1261 through 34-1264 clearly allows administrative approval of your request, otherwise
use the Public Hearing form and Special Exception Supplement.) Please submit two paper copies
and one digital/electronic copy of all required applications, supplemental information, exhibits and
documents.
PROJECT NUMBER: DATE:
Request: Indoor On-Premise Outdoor On-Premise Expansion (ord. 12-03)
Name of Establishment:
Site Address:
STRAP Number (use additional sheets if necessary):
Current Zoning: Future Land Use:
Waterfront: No Yes If yes, provide width along waterfront ft
Applicant: Phone:
Email: Fax:
Type of License: 2COP 4COP SRX 4COP Other:
Type of Establishment
Bar/Cocktail Lounge
Golf Course Clubhouse
Membership Club
Restaurant w/Outdoor Seating (Ord. 12-03)
Charter/Cruise Ship
Hotel/Motel
Restaurant
Requested Hours of Operation:
(Please note outdoor, on the sand COP is limited to one hour after sunset or 9pm, whichever is earlier)
