Occupational Application

Fee _________
(1/2 fee after April 1)

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, fire control and health.

Town of Dundee
Town Clerk
PO Box 1000
Dundee, FL 33838
townclerk@townofdundee.com THIS PAGE
NOT FINISHED

Fictitious Name Registration must accompany this application
BUSINESS INFORMATION	Name:
Business Address:
Start of Business Date
Full Name of Applicant
Mailing Address
Phone Number
Federal ID Number or SS Number
Nature of Business
Square Feet
Maximum Number of Employees
Number of Machines
Number of Rooms
Number of Seats
If Mobile Home Park, # of Units
Type and Size of Signs to be on Site
I 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 of Applicant Printed Name/Title Date

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