Fillable HOME BUSINESS TAX RECEIPT & CERTIFICATE OF USE (City of Edgewater Florida)

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HOME BUSINESS TAX RECEIPT & CERTIFICATE OF USE (City of Edgewater Florida)

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CITY OF EDGEWATER
FINANCE DEPARTMENT
104 North Riverside Drive
P.O. Box 100
Edgewater, Florida 32132
doingbusiness@cityofedgewater.org
Phone: (386) 424-2400 FAX: (386) 424-2409
HOME BUSINESS TAX RECEIPT
& CERTIFICATE OF USE
PROCEDURES
NEW BUSINESS AND TRANSFER OF BUSINESS
1. Applications can be obtained from Business Tax Department (386) 424-2400 X 1305 or on-line at
www.cityofedgewater.org
under the Special Interest Links tab.
2. Complete application in its entirety and return it to the City of Edgewater Business Tax Official
along with the following documents:
a. The business owners (or representatives) Florida Driver’s License;
b. Any required State License; and
c. Proof of Fictitious Name Registration and/or Corporate or LLC status.
3. Payment will be accepted upon approval of application. You will receive a call from the when the
application has been approved. Processing takes approximately 3-5 business days.
4. Volusia County requires all businesses to obtain a County Business Tax Receipt. You must have
proof of payment of your City of Edgewater business tax before you can pay for the County
business tax. (Additional information may be obtained by calling 423-3322)
5. Please note that the Department of State requires registration of a Fictitious Name, the mailing
address is: Fictitious Name Registration P O Box 1300, Tallahassee, Florida 32302-1300. The
City requires proof of Fictitious Name Registration prior to approval of the application.
The following is a list of phone numbers that you may find of use regarding completing this application:
City of Edgewater (386) 424-2400 http://cityofedgewater.org
Volusia County Business Tax Dept. (386) 423-3322 http://volusia.org/business/licenses-and-permits.stml
Fictitious Name Registration/Corporate Filing- (850) 245-6058 http://sunbiz.org/
Dept. of Business Regulations- (850) 487-1395 http://www.myfloridalicense.com/dbpr/index.html
Dept. of Agriculture- (800)-488-3022 http://www.800helpfla.com/
Sales Tax and Tax Exemption (386) 274-6600 http://dor.myflorida.com/dor/taxes/sales_tax.html
Workers' Compensation-Orlando Office (407) 245-0896 https://myfloridacfo.com/Division/wc/
CONTRACTOR/SUBCONTRACTOR DISCLOSURE STATEMENT
State law requires any subcontractor who receives compensation for services rendered carry liability
insurance and workers’ compensation insurance and/or workers’ compensation insurance exemption. You
have applied for a Business Tax Receipt (BTR)/Certificate of Use to work as a subcontractor in the City
of Edgewater. By signing this affidavit you are stating that you have complied with these requirements.
Failure to do so will result in your City of Edgewater BTR/Certificate of Use being revoked. It is your
responsibility to provide proof of liability insurance and workers compensation insurance or workers
compensation exempt affidavit to homeowners and/or contractors when services are rendered.
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PLEASE NOTE THAT ISSUANCE OF A BUSINESS TAX RECEIPT DOES NOT SUPERSEDE
ANY HOMEOWNERS ASSOCIATION REGULATIONS, DEEDS, CONVENANTS OR
RESTRICTIONS. PLEASE CONTACT YOUR HOMEOWNERS ASSOCIATION OR REFER
TO APPROPRIATE DOCUMENTS FOR ANY QUESTIONS REGARDING THIS MATTER.
BUSINESS TAX RECEIPTS AND CERTIFICATES OF USE EXPIRE ON SEPTEMBER 30
TH OF
EACH YEAR. IT IS THE SOLE RESPONSIBILITY OF THE BUSINESS OWNER TO ENSURE
RENEWAL
HOME BASED BUSINESSES MUST COMPLY WITH ALL FEDERAL, STATE AND LOCAL
LAWS AS WELL AS THE PROVISIONS CONTAINED IN THE CITY OF EDGEWATER LAND
DEVELOPMENT CODE AS OUTLINED HERE:
21-34.01 – Home Occupations
The purpose of this Section is to provide criteria under which a home occupation may operate in the
City’s residential districts. The Home Business Tax Receipt is designed to allow for office type uses
within a residence. No home business tax receipt shall be issued unless the City determines the proposed
home occupation (business) is compatible with the criteria shown below:
a. The use must be conducted by a member, or members, of the immediate family residing on the
premises and be conducted entirely within the living area of the dwelling unit, not to exceed twenty
percent (20%) of the dwelling unit space (excluding garage/carport) for the home occupation.
b. No manufacturing, repairing, storing, or other uses that are restricted to commercial and industrial
districts are allowed.
c. No chemicals/equipment, supplies or material, except that which is normally used for household
domestic purposes, shall be used or stored on site.
d. Noise, dust, odors or vibrations emanating from the premises shall not exceed that which is normally
emanated by a single dwelling unit. Activities that cause a nuisance shall not be permitted in residential
areas.
e. No electrical, electro-magnetic or mechanical equipment that causes any interference or excessive noise
to adjacent dwelling units shall be installed or operated.
f. No products, services, or signage may be displayed in a manner that is visible from the exterior of the
dwelling unit, except signage required by state law.
g. Except as provided in Section 21-35.03, no commercial vehicles or equipment shall be permitted in the
driveway, or adjacent public right-of-way, including commercial vehicles used for mobile vending and no
delivery of commercial products for the use of the business tax receipt shall be allowed. Normal/routine
UPS, FedEx, or over-night mail shall not be considered commercial deliveries.
h. The use of typewriters, computers, printers, photocopiers and fax machines will be permitted for office
use and small machinery such as hand drills and small jigsaws for hobbyist uses. Hobbyist uses shall be
limited to $500 in total inventory.
i. All home occupations shall be required to obtain a home business tax receipt pursuant to the
requirements of Chapter 11 of the City Code of Ordinances prior to initiating operation.
j. Garages, carports or similar structures, whether attached or detached shall not be used for storage of
material or manufacturing concerning the home occupation (other than storage of an automobile).
2
k. Any home business tax receipt that generates more than 10 vehicle trips per day shall require a City fire
inspection. Excessive traffic shall not be permitted other than routine residential traffic.
l. An applicant may appeal the denial of an application to the City Council pursuant to the requirements of
the Land Development Code.
m. No home business tax receipt shall be issued for any property until such time that any Code
Compliance issues are resolved.
n. If the applicant does not own the property, said applicant shall provide a signed and notarized affidavit
from the property owner permitting a Home Occupation on their property, provided the use is permitted
by the City.
All parts of this application must be filled out or a ‘N/A’ must be in place where no answer
applies. Incomplete applications will be returned to you as we are unable to fill these out or add
items on your behalf. Please include an image of your ID, along with any supporting state
license(s) and/or permit documents that may be required for your profession to avoid delays in
processing. If you do not have a Federal Employer Identification Number (FEIN) for your
business, you must provide your social security number in its place per F.S. 205.0535(6). Forms
requiring notarization must be completed prior to submission.
3
CITY OF EDGEWATER
FINANCE DEPARTMENT
104 North Riverside Drive
P.O. Box 100
Edgewater, Florida 32132
doingbusiness@cityofedgewater.org
Phone: (386) 424-2400 FAX: (386) 424-2409
CERTIFICATE OF USE/BUSINESS
TAX RECEIPT
HOME BUSINESS APPLICATION
Date:
Application is hereby made for a home based City of Edgewater Certificate of Use and Business Tax
Receipt for the privilege of engaging in business, profession or occupation hereinafter described:
Business Name:
(attach proof of Fictitious Name Registration or proof of incorporation if applicable)
Business Address:
Business Mailing Address:
Business Owner’s Name:
Local Phone: E-mail Address:
Do you wish to receive the City’s monthly email newsletter geared towards Edgewater businesses: YES /NO
State License Number (where required, attach copy of lic.):
State Sales Tax ID Number (where required):
Florida Drivers License Number (attach copy):
Business Owners Date of Birth:
Local Emergency Contact (Name and Phone #):
Federal Employee Identification Number OR Social Security#: ______
Square footage of area used for business:
Business Description (be specific):
Number of Employees (including self):
Has location been previously licensed with the City of Edgewater? ☐YES ☐NO
If yes, name/type of business? (if known)
1
______________________________________
___________________________________
__________________________________
Exemption for Fictitious Name Registration Requirement
I, , am exempt from the requirements of the Fictitious Name
(Business Owner Name)
Act for my business for the reason listed below:
(Business Name)
☐I am using my full legal name (first and last) as my business name.
☐I am a Corporate Officer, part of a Limited Liability Corporation, or a Registered Partner in a
Corporate Partnership. My Corporate Name is my Business name, and my corporation is in Good
Standing with the Florida Division of Corporations.
☐I am Registered or Licensed with the Florida Department of Business & Professional Regulation.
☐I am Registered or Licensed with the Florida Department Agriculture.
☐I am Registered or Licensed with the Florida Department Health.
☐I am an Attorney licensed with the Florida Bar Association, forming a business for the practice of
law.
☐Other
Attached is proof of my exempt status (i.e. Certificate of Incorporation, State License, etc.)
I HAVE READ, UNDERSTAND AND AGREE TO THE PROCEDURES AND CRITERIA FOR
HOME OCCUPATIONS. (Section 21-34.01 – Home Occupations of the Land Development Code) I
DO HEREBY SWEAR OR AFFIRM THAT THE STATEMENTS MADE BY ME IN THE
APPLICATION ARE TRUE AND CORRECT. IUNDERSTAND THAT THE CERTIFICATE OF
USE IS VALID ONLY FOR USES FOR WHICH A VALID BUSINESS TAX RECEIPT HAS
BEEN OBTAINED (EXCEPT WHERE EXPRESSLY STATED). THE BUSINESS OWNER IS
RESPONSIBLE FOR COMPLIANCE WITH ALL CITY, STATE AND FEDERAL
REGULATIONS.
APPLICANT’S SIGNATURE
STATE OF FLORIDA - COUNTY OF ______________________
Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization,
this _____ day of ___________________________, 20 _____ ,
by _______________________________________________ . Personally Known OR Produced Identification
(Signature of Notary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public)
2
______________________________________
___________________________________
__________________________________
PROPERTY OWNER AFFIDAVIT
This form is required if the applicant is not the owner of record of the property listed on the
Certificate of Use application. As an alternative to this form, the property owner of record may
submit a notarized letter to the City of Edgewater stating that the named applicant is permitted to
conduct the specifically requested business at the subject property. Please note that if a legal
representative of the property owner is completing this form, proof of authority to act on the subject
property must be submitted.
Applicant’s Name:
Business Name:
Nature of Business:
Property Owner’s Name:
Property Address:
Property Owner’s phone number:
I, , as the property owner of record/legal representative
of the above described property, and having the authority of same, do authorize the aforementioned
Applicant and Business to utilize this property location to operate said business.
PROPERTY OWNER’S SIGNATURE
STATE OF FLORIDA - COUNTY OF ______________________
Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization,
this _____ day of ___________________________, 20 _____ ,
by _______________________________________________ . Personally Known OR Produced Identification
(Signature of Notary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public)
3
___________________________________
__________________________________
STATEMENT OF FACT
FOR SUBCONTRACTORS ONLY
City of Edgewater – Building Department
City of Edgewater Florida Statutes
State of Florida Sec. 440 & 489
County of Volusia
Before me this day personally appeared who, being duly sworn,
deposes and says as follows: “I have read and fully understand the provisions of this instrument.”
DISCLOSURE STATEMENT
State law requires any subcontractor who receives compensation for services rendered carry liability
insurance and workers’ compensation insurance and/or workers’ compensation insurance exemption. You
have applied for a Certificate of Use to work as a subcontractor in the City of Edgewater. By signing this
affidavit you are stating that you have complied with these requirements. Failure to do so will result in
your City of Edgewater Business Tax Receipt/Certificate of Use being revoked. It is your responsibility to
provide proof of liability insurance and workers compensation insurance or workers compensation
exempt affidavit to homeowners and/or contractors when services are rendered.
Name of Business:
Nature of Business:
Owner’s Name:
Address:
Phone Number:
Business Owners Signature:
STATE OF FLORIDA - COUNTY OF ______________________
Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization,
this _____ day of ___________________________, 20 _____ ,
by _______________________________________________ . Personally Known OR Produced Identification
(Signature of Notary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public)
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HOME BUSINESS TAX RECEIPT & CERTIFICATE OF USE (City of Edgewater Florida)

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Completed 22 January 2021

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