P.O. Box 1000
105 Center Street
Dundee, Florida  33838
863.419.3100

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Public Works 419-3114

 

Town of Dundee
Town Clerk
PO Box 1000
Dundee, FL 33838
 townclerk@townofdundee.com         THIS PAGE
  

 

                                                            NOT FINISHED

 

 

ION FOR OCCUPATIONAL LICENSE ~ TOWN ORDINANCE 01-02

 
                                      

 

 

 


No Occupational License shall be issued until applicable county and state laws are complied with, including, but not limited to, building, zoning, construction industry licensing, firs control and health.

 

 

 

BUSINESS INFORMATION:

 

Applicant Name:                                                                       Business Phone:                                           

Business Name:                                                                         Start of Business Date:                                

Business Address:                                                       City/State:                                           Zip:                

Nature of Business:                                                                                          Square Feet:                          

Corporation Name:                                                       Federal ID or SSN:                                                     

Mailing Address:                                                           City/State:                                           Zip:                

Maximum # of Employees:                    #Machines:                  # Rooms:                     # Seats:                     

If Mobile Home Park, # of Units:                        SIGNS: Type:                                       Size:                          

 

I hereby certify that the above information is true and correct, and I understand that any false statements could result in penalties as provided by law.

 

Signature:                                                                           Title:                                                  

                                                                                            Date:                                       

 

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


INSTRUCTIONS FOR OBTAINING OCCUPATIONAL LICENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


INSTRUCTIONS FOR OBTAINING OCCUPATIONAL LICENSE

 

 

 

 

 

 

 


Please Note:  This application is for an Occupational License within the Town of Dundee only.

 

 

 

 

 

 


Please Note:  This application is for an Occupational License within the Town of Dundee only.

 

 

 

GENERAL INFORMATION
Position(s) Applied for
Date of Application
How did you hear about us?
Full Name of Applicant
Mailing Address
Phone Number
Social Security Number (optional)
Best time to contact you?
If you are under 18, can you provide required proof of eligibility to work?
Have you ever filed an application with us before? If yes, date.
Are you currently employed?
If so, may we contact your employer?
Are you prevented from lawfully becoming employed in this country?
Can you travel if job requires it?  
Have you been convicted of a felony within the last five years?
Education
High School
College
Other (Specify)
Employment Experience
 

 

 

 
 

 

 

 
 

 

 

 
References
Name                Phone Number           Occupation

1)

2)

3)
I certify that all answers are true and complete.  I authorize investigation of all statements contained in this application.  This application for employment shall be considered active not to exceed 45 days.  I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with our without cause.  It is also understood that "at will" employment relationship may not be changed by any written document or by conduct unless such change is specified in writing by an authorized person.  In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the Employer.    


______________________      ______________
Signature of Applicant               Date

I hereby give the Dundee Police Department and the Town of Dundee authorization to do a thorough background investigation of my personal and business references.  

 

 

____________________________________
Signature of Applicant

 

State of Florida City/County _____________________

Sworn to before me this _____ day of _____________, 20__

                                                               _____________________
                                                                Signature of Notary Public

Drivers License  Yes    No

License #_______________________    Expiration Date: _______

State Issued _______  Operator  Chauffeur   Restricted

 
 

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