Fill - Free fillable Short Term Rental Application (Town of Lauderdale By The Sea Florida) PDF form

u:\vacation rentals\application - short term or vacation rental 2017.docx

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TOWN OF LAUDERDALE-BY-THE-SEA

4501 OCEAN DRIVE, LAUDERDALE-BY-THE-SEA, FLORIDA 33308

954-640-4203

APPLICATION FOR A SHORT TERM RENTAL CERTIFICATE

(Rented to guests more than three (3) times a year for less than 30 days

or one (1) calendar month, whichever is less)

PLEASE COMPLETE A SEPARATE FORM FOR EACH

UNIT

New

(

)

Renewal

(

)

Transfer

(

)

Date:

A) SITE INFORMATION

Rental Property

Address:

Name

of House for advertising

purposes

Website(s)

to be used for

advertising:

Property

web reference number(s):

Number

of

bedrooms:

House

Phone

Number:

Square footage of home, excluding bedrooms, kitchens, bathrooms, shower rooms, water closets,

laundries,

pantries,

foyers,

connecting

corridors,

closets

&

storage

spaces:

Will pets be allowed in the house? YES NO

If

yes,

how

many

allowed:

Type

of

pet(s)

allowed:

B) OWNER INFORMATION

Owner’s

Name:

Permanent

Mailing Address (No P. O.

Box):

City

& State: Zip

Code

Home

Phone Cell Phone

Business

Phone

Fax

E-Mail

C) 24/7 LOCAL CONTACT INFORMATION (Must respond to site within 3 hours of notification by Town)

Contact Person’s

Name

Address:

(No P. O. Box)

City & State: Zip

Code

Home

Phone Cell Phone

Business

Phone

Fax

E-Mail

D) PROPERTY MANAGEMENT COMPANY INFORMATION (If Applicable)

Property Manager’s

Name:

Mailing

Address: (No P. O. Box)

City & State: Zip

Code

Home

Phone Cell

Phone

Business

Phone Fax

E-Mail

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E) THE FOLLOWING LICENSES MUST BE PROVIDED AT SUBMITTAL:

(Refer to State & County Information Sheet)

 Florida Hotel/Motel License

 Florida Department of Revenue Sales Tax Certificate

 Lauderdale-By-The-Sea Business Tax Receipt

F) ADDITIONAL REQUIREMENTS:

 PROOF OF COMPLIANCE with Uniform Fire Safety Standards for Transient Public Lodging

Establishments (Rules

69A-43).

 PROOF OF COMPLIANCE with Florida Fire Prevention Code (69A-60)

 PROOF OF COMPLIANCE with Florida Administrative Code where applicable.

 PROVIDE PHOTOS OF THE HOUSE, FRONT AND REAR (attach photos to application)

 PROVIDE A SKETCH OF THE FLOOR PLAN AND SITE INCLUDING PARKING AREAS, WITH

INDIVIDUAL PARKING SPACES LEGALLY AVAILABLE FOR OCCUPANTS CLEARLY MARKED

(Attach sketch to application. Public parking spaces may not be designated for the purposes of this sketch)

G) AGREEMENTS

PROPERTY OWNER’S AGREEMENT:

BY signing this AGREEMENT, the Property Owner agrees to use his or her best efforts to

assure that the short term rental use of the dwelling unit will not disrupt the residential

character of the neighborhood, and will not interfere with the rights of neighboring property

owners to the quiet enjoyment of their residences. Furthermore, the Property Owner

acknowledges that they were provided a copy of Vacation and Short Term Rental Regulations,

including Section 30-237. - Vacation rentals and short term rentals.

SIGNATURE:

PRINT NAME:

LOCAL AGENT’S AGREEMENT:

If local agent is different from property owner

BY signing this AGREEMENT, the Local Agent agrees to use his or her best efforts to

assure that the short term rental use of the dwelling unit will not disrupt the residential

character of the neighborhood, and will not interfere with the rights of neighboring property

owners to the quiet enjoyment of their residences. Furthermore, the Local Agent

acknowledges that they were provided a copy of Vacation and Short Term Rental

Regulations, including Section 30-237. - Vacation rentals and short term rentals.

SIGNATURE:

PRINT NAME:

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I HEREBY DECLARE that all information provided in this application is true and correct and,

further, understand that providing false or misleading information on this application may

result in being denied, or the loss thereof, of any license or permit issued by the Town of

Lauderdale-By-The-Sea which was based upon information provided in this application.

APPLICANT’S SIGNATURE:

PRINT NAME:

THE ABOVE PERSON IS KNOWN PERSONALY TO ME OR PRODUCED IDENTIFICATION

SWORN TO AND SUBSCRIBED before me THIS DAY OF

20

NOTARY PUBLIC:

FOR OFFICE USE ONLY

Any other information that this section, or any rules and procedures for implementation of this section that

requires the owner to provide to the Town as part of application for or renewal of a Short Term Rental

Certificate, please indicate below –

APPROVED BY: DATE:

SHORT TERM RENTAL CERTIFICATE FEE: DATE PAID:

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REFERENCE I

NFORMAT

I

ON

FOR

VACATION AND SHORT TERM

RENTALS

1. FLORIDA HOTEL/MOTEL LICENSE - Required for all Vacation and Short Term

Rentals. To obtain a State License, contact the Florida Department of Business

and Professional Regulation:

a) Phone: 850-487-1395

b) E-mail: callcenter@dbpr.state.fl.us or complete the contact form at

http://www.myfloridalicense.com/contactus/

c) On Line: www.MyFlorida.com/dbpr

2. FLORIDA DEPARTMENT OF REVENUE SALES TAX -- Application for Sales Tax

registration forms may be obtained in person, by mail, on line, or call for information.

a) Florida Dept. of Revenue 3111 N. University Drive, Suite 501, Coral Springs,

FL 33054-5096

b) Phone: 954-346-3000

c) On Line: www.MyFlorida.com/dor

Note: There will be a registration fee.

3. TOWN OF LAUDERDALE-BY-THE-SEA LOCAL BUSINESS TAX -- Information

and application may be obtained from the following:

a) Development Services Department

b) Phone: 954-640-4203

c) On Line: www.lauderdalebythesea-fl.gov -- go to Town Documents – select

Business Tax Receipt License (formerly Occupational License)

4.

INSPECTION – An annual inspection is mandatory for maintaining a license. If you

have further questions regarding safety issues, please call the Lauderdale-By-The-

Sea, Development Services Department at 954-640-4216.

ALL FEES OR FINES MUST BE PAID BEFORE A LICENSE WILL BE ISSUED.

(Please Refer to attached Fee Schedule).

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BUSINESS RELATED AGENCIES

Agencies

Locations

Phone

Town of Lauderdale-By-The Sea

Zoning Department

4501 Ocean Drive

Lauderdale-By-The-Sea FL 33308

954-640-4210

Town of Lauderdale-By-The-Sea

Building Department

4501 Ocean Drive

Lauderdale-By-The-Sea FL 33308

954-640-4215

Broward County Local

Business Tax Receipt License

115 S. Andrews Avenue

Fort Lauderdale, FL 33301

954-831-4000

Broward County Consumer Affairs

115 S. Andrews Avenue

Fort Lauderdale, FL 33301

954-765-5350

Fictitious Name Registration

Florida Secretary of State’s Office

www.Sunbiz.Org

850-487-6059

Department of Professional

Regulations (DPBR)

www.Stateofflorida.Com

954-917-1330

Competency Card Information

954-765-4400

Health Permits

954-467-4823

Florida Hotel & Restaurant

(Alcohol License)

954-917-1330

850-922-6057

Florida Construction

Industry License Board

954-487-1395

Florida Real Estate Board

954-917-1324

B.I.S. (Investigative Services)

954-917-1330

Child Care Licensing

954-765-4646

Fire Inspectors

954-640-4250

Florida State Sales Tax Information

3111 University Drive, Suite 502

Corals Springs FL

954-346-3000

Florida Division of Corporations

www.sunbiz.org

850-488-6059

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SHORT-TERM

RENTAL

SCHEDULE OF

FEES

(Resolution 2017-48)

Town Commission Adopted December 12, 2017

*ALL FEES OR FINES MUST BE PAID BEFORE A LICENSE WILL BE ISSUED.*

Single Family, Townhome (first unit)

New

$750.00

Each Additional Unit (submitted with first unit)

$300.00

Single Family, Townhome (first unit)

Renewal

$500.00

Each Additional Unit (submitted with first unit)

$200.00

Safety Inspection, Re-Inspection, and No Show

Inspections

$75.00

Appeal from Revocation or Suspension of

Vacation Rental Certificate or of Vacation

Rental Agent Status

$500.00

Fill Online, Printable, Fillable, Blank Short Term Rental Application (Town of Lauderdale By The Sea Florida) Form

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Fillable Short Term Rental Application (Town of Lauderdale By The Sea Florida)

Fill Online, Printable, Fillable, Blank Short Term Rental Application (Town of Lauderdale By The Sea Florida) Form

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