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Document Cartersvillega_doc_7175a40dd7

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1 Occupational Tax Certificate This application must be completed and returned with applicable fees to: City of Cartersville Planning and Development P. O. Box 1390 * Cartersville, GA 30120 * [PHONE REDACTED] **Make Checks Payable to the City of Cartersville*** 1. Name of Business: Local Business Address: Mailing Address, if Different: City: State: Zip: Phone Number: Email: 2. Owner of Business: Home Address: 3. Manager of Business: Home Address: 4. Description of business to be conducted: NAICS # Sales Tax ID # 5. Number of employees: Full Time Part Time SIGNS FOR YOUR BUSINESS REQUIRE A PERMIT 6. Will a new sign be placed at this location? YES NO I certify that the foregoing information is true and correct. I understand that falsification of any part of this application could cause denial or revocation of the certificate. Date: Signature: FOR OFFICE USE ONLY Zoning District: Allowable Use as Described:  Yes No  Approved Disapproved Zoning Administrator Signature: ---PAGE BREAK--- 2 O.C.G.A. §50-36-l(e)(2) Affidavit By executing this affidavit under oath, as an applicant for an occupational tax certificate, alcohol license, or other public benefit as referenced in O.C.G.A.§ 50-36-1, from the City of Cartersville, the undersigned applicant verifies one of the following with respect to my application for a public benefit. 1) I am a United State citizen. 2) I am a legal permanent resident of the United States (Have a permanent resident card) 3) I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department of Homeland Security or other federal immigration agency (i.e. Work Visa). My alien number issued by the Department of Homeland Security or other federal immigration agency is: The undersigned applicant also hereby verifies that he or she is 18 years of age or older and has provided at least one secure and verifiable document, as required by O.C.G.A. § 50-36- with this affidavit. The provided secure and verifiable document can best be Classified as: Driver’s License  Passport  Green Card/Permanent Resident  Employment Authorization  Certificate of Citizenship  Other: In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of O.C.G.A. § 16-10-20, and face criminal penalties as allowed by such criminal statute. Executed in {city),Georgia. Signature of Applicant Subscribed and sworn before me on this the day of Printed Name of Applicant Notary Public (Signature) My Commission Expires Notary Seal ---PAGE BREAK--- 3 City of Cartersville Occupational Tax Certificate Fees **Make Checks Payable to the City of Cartersville** Visa/MasterCard/Discover Card payments will accrue a 2.95% Convenience Fee We DO NOT accept American Express Number of Fulltime Employees Not Including the Owner 2 part time = 1 fulltime Fee for New Business Fee for New Business if opening after July 1st 0-1 $90.00 $45.00 2-5 $180.00 $90.00 6-10 $240.00 $120.00 11-50 $335.00 $167.50 51-100 $405.00 $202.50 101-200 $675.00 $337.50 201-500 $1,015.00 $507.50 501-1,000 $1,685.00 $842.50 1,000+ $3,000.00 $1,500.00 Other Types of Licenses: Peddlers License Fees* - (Additional Forms will be needed) $25.00 Background check done at the City of Cartersville Police Department $10.00 Car Decal $50.00 Peddlers License Fee Total= $85.00 Precious Metals Permit: $25.00 Background check done at the City of Cartersville Police Department $30.00 Precious Metals Permit Fee Total= $55.00 *If you have a food truck that is an extension of a restaurant, then you will need an Occupational Tax Certificate AND meet the requirements of a Peddler License to obtain a Car Decal. ---PAGE BREAK--- 4 Sec. 4.23. • Home occupations. A home occupation as defined by this chapter shall be governed by the following requirements: 1. Only residents of the dwelling may be engaged in the home occupation. 2. The home occupation shall be clearly incidental to the residential use of the dwelling and shall not change the essential residential character of the building. 3. There shall be no display stock in trade, or commodity sold on the premises, and no mechanical equipment used except such as is commonly used for purely domestic household purposes. 4. Only one point of business sign, not exceeding two square feet in size, motionless, non-lighted, and attached to the principal building, shall be permitted, and no advertising signs shall be permitted. 5. Use of the building for a home occupation shall not exceed thirty (30) percent of one floor of the principal building (excludes family day care use). 6. No alterations inconsistent with the residential use of the building shall be permitted. 7. The occupation shall not constitute a nuisance in the neighborhood. 8. No accessory buildings or outside storage shall be used in connection with the occupation. 9. Instructions in music shall not create sound at an audible level which may be a nuisance to neighboring properties. 10. Vehicles used primarily as passenger vehicles shall only be permitted in connection with the conduct of the home occupation. 11. No commercial equipment such as landscaping equipment or machinery associated with construction, grading, or hauling shall be allowed to be stored or parked on the property. 12. The following and similar uses shall be considered customary home occupations: art instruction, beauty shop (with no more than one stylist), doctor's office, drafting, dressmaking, insurance agency, manufacturing agent, music instruction, notary of the public, photography, real estate agency, tax consultant, or any other home office consisting of a personal computer, phone, or any other accessory office equipment typically used to establish a home office. 13. All home occupations must have an occupational tax certificate. Signature: ---PAGE BREAK--- 5 CHECKLIST FOR OCCUPATIONAL TAX CERTIFICATE (BUSINESS LICENSE) Steps for Getting an Occupational Tax Certificate in an Existing Building 1. Obtain Occupational Tax Certificate Application from Planning & Development Department at 2nd Floor, City Hall, I 0 North Public Square, or on the City of Cartersville Website (www.cartersvillega.gov), or call [PHONE REDACTED]. 2. Please call the Planning Department to verify the zoning of your building. 3. Please call the Bartow County Tax Commissioners office to verify all occupation, specific, special or ad valorem taxes due to the city by such person for any previous year are paid. Have the tax commission office staff sign off on the sign off sheet. 4. If utilities need to be turned on, please come to the Planning Department, and ask for a temporary utility sign-off sheet. Once that is complete, turn the sheet into Customer Service on the 1st floor of City Hall and pay deposits. Customer Service [PHONE REDACTED] 5. Call the following departments for inspections of your commercial building and have them sign for their department on the Final Inspection Sheet. Fire Department: 195 Cassville Rd [PHONE REDACTED] Water Department: 301 Douthit Ferry Rd. [PHONE REDACTED] Building Department:10 N. Public Square, 2nd Floor [PHONE REDACTED] If you are opening a restaurant or gas station more inspections may be required. Please see the Planning Department staff for more information. 6. Return the completed paperwork and final signoff sheet to the Planning Department. There are notaries you may use, free of charge, in the office. Please have your photo identification ready. 7. If modifications (renovation) of the building are required, obtain a Building Permit from the Planning & Development Department. Fees are based on the valuation of the renovation. Depending upon the situation, plumbing, electrical, or HVAC permits may be required. State licensed contractors are required to pull the permits. The Building Official and Inspector will inform you of the scheduling of inspections. If the building is in a Historic District a Certificate of Preservation (COP) may be required from the Historic Preservation Commission. Planning Staff will review any changes to determine if a COP is required. ---PAGE BREAK--- 6 CITY OF CARTERSVILLE SIGNOFF FOR TEMPORARY UTILITIES This must be signed before any utilities can be turned on. Building Inspection-Inspectors 10 North Public Square [PHONE REDACTED] APPROVAL DATE _ Fire Department - Inspectors 195 Cassville Road [PHONE REDACTED] APPROVAL DATE _ Water Department- Michael DeLeon 301 Douthit Ferry Rd. [PHONE REDACTED] APPROVAL DATE _ BUSINESS NAME ADDRESS _ NOTES ---PAGE BREAK--- 7 CITY OF CARTERSVILLE FINAL INSPECTIONS REQUIRED FOR ISSUANCE OF OCCUPATIONAL TAX CERTIFICATE On completion of a building before occupancy, a final inspection must be done before a Certificate of Occupancy can be issued. The following should be contacted for their approval where applicable. Business Name Address Building Inspections 10 North Public Square, [PHONE REDACTED] APPROVAL DATE Fire Department- Mark Hathaway, Fire Marshal 195 Cassville Road, [PHONE REDACTED] APPROVAL DATE Electric Department- Tom McKee 320 S Erwin St, [PHONE REDACTED] APPROVAL DATE Planning & Zoning/Landscaping- Zack Arnold 10 North Public Square, [PHONE REDACTED] APPROVAL DATE Public Works- Tony Key 330 S. Erwin Street, [PHONE REDACTED] APPROVAL DATE Water Department- Water Sewer Availability - Michael DeLeon 301 Douthit Ferry Rd, [PHONE REDACTED] APPROVAL DATE Water Department- Backflow – Grease Trap - Michael DeLeon 301 Douthit Ferry Rd., [PHONE REDACTED] APPROVAL DATE Bartow County Water Department – Gerardo Becerra 50 Nelson Street, [PHONE REDACTED] APPROVAL DATE Gas Department –Michael Dickson 155 Old Mill Rd., [PHONE REDACTED] APPROVAL DATE Bartow County Health Department 100 Zena Drive, [PHONE REDACTED] APPROVAL DATE GA Department of Agriculture [PHONE REDACTED] APPROVAL DATE GA State Fire Marshall’s Office [PHONE REDACTED] APPROVAL DATE GA Department of Transportation 500 Joe Frank Harris Pkwy., [PHONE REDACTED] APPROVAL DATE ---PAGE BREAK--- 8 New Business Life Safety Checklist Name of Facility Date _ Address Emergency Contact Name and Phone# _ Y N N Remarks Street Address Posted min.) Fire walls or partitions have no Exit are Marked & Signs Lit Emergency Lighting Operable Exit Doors are Clear & Unlocked Electrical Room Clear & No Extension Cords AU electrical switches and outlets No open empty spaces in panel box Compressed gas cylinders are Portable Fire Extinguishers Maintained & Gas fired water heater has min. of3' Storage- not blocking exits, panel Sprinkler System Maintained & Tagged Hood System Maintained & Tagged- (Every A Knox Box will be required for all new businesses, changes of ownership, and renovations over 50% before a business license can be issued. It is the responsibility of the applicant to install the Knox Box per the city ordinance. The box may be ordered online at www.knoxbox.com or a paper order form can be requested from the Fire Prevention Division at Cartersville Public Safety Headquarters 195 Cassville Rd.; Cartersville, GA. 30120 or Phone [PHONE REDACTED]. Fulfilling the requirements of this form does not ensure that a business license will be issued. This form is meant to help new business owners with the Cartersville Fire Prevention Division inspection process and is not an all- inclusive form. ---PAGE BREAK--- 9 10 or less employees Private Employer Exemption Affidavit Pursuant to O.C.G.A. § 36-60-6(d) By executing this affidavit, the undersigned private employer verifies that it is exempt from compliance with O.C.G.A. § 36-60-6, stating affirmatively that the individual, firm, or corporation employs ten (10) or fewer employees and is not required to register with and/or utilize the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 36-60-6. I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on of , 20 in Georgia. Printed Name of Exempt Private Employer (Business Name) Signature of Exempt Private Employer or Authorized Officer or Agent Printed Name and Title of Person Executing Affidavit SUBSCRIBED AND SWORN BEFORE ME ON THIS THE________DAY NOTARY PUBLIC My Commission Expires: Notary Seal ---PAGE BREAK--- 10 More than 10 employees Private Employer Affidavit of Compliance Pursuant to O.C.G.A. § 36-60-6(d) By executing this affidavit, the undersigned private employer verifies its compliance with O.C.G.A. § 36-60-6, stating affirmatively that the individual, firm, or corporation has registered with and utilizes the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 36-60-6. Furthermore, the undersigned private employer hereby attests that its federal work authorization user identification number and date of authorization are as follows: Federal Work Authorization User Identification Number Date of Authorization Name of Private Employer (Business Name) I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on of , 20 in Georgia Signature of Exempt Private Employer or Authorized Officer or Agent Printed Name and Title of Person Executing Affidavit SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF , 20 . NOTARY PUBLIC My Commission Expires: Notary Seal