| Line 1. |
The business name you are conducting business as, doing business as (DBA) or fictitious name. |
| Line 2. |
Qualifiers are professionals who are state licensed. Examples: Contractors, Attorneys, Physicians, Dentists, etc. |
| Line 3. |
The date the individual (indicated on line 2) became a qualifier/professional for this business at the physical address (indicated on line 5). |
| Line 4. |
Indicate the corporation name if applicable or the owner(s) individual name(s), if a sole proprietor or partnership. |
| Line 5. |
Where the business is located (location
for which the receipt is being issued). |
| Line 6. |
Date the business opened at the physical address indicated on line 5 of the application.
For businesses located outside Lee County, indicate the date the business started operating within Lee County. |
| Line 7. |
Mailing address if different from the physical address or the address the renewal will be mailed to. |
| Line 8 |
Place an "X" for the type of ownership of the business. |
| Line 9. |
Telephone number for the physical location of the business and home telephone number (if applicable). |
| Line 10. |
Place an "X" in the residence column if your business is being conducted from your home, or place an "X" in the commercial column if your business is being conducted from a business site. |
| Line 11. |
If the physical address indicated on line 4 of the application is in the city limits, place an "X" in the "Yes" column and attach a copy of your current city license. If your business is not located in the city limits place an "X" in the "No" column. See below for zoning information. |
| Line 12. |
If your business is operating under a name other than the corporate name, registered trademark, limited liability partnership or general partnership, proof of a fictitious name registration will be required. If your business is exempt from filing for fictitious name registration, place an "X" on the line which best indicates why your business would be
exempt. If the business name consists of your legal name with multiple owners, then a fictitious name registration is required.
The business name must indicate all owner names in order to be exempt. |
| Line 13. |
If the business or qualifier is state certified,
for example: contractor, physician, dentist, attorney, private investigator,
cosmetologist or any regulated professional, a copy of the certificate must be attached to this application. |
| Line 14. |
Nature or type of business the license is being issued. Depending on the nature of the business, other documentation may be necessary. Contact the tax collector's office at
(239) 533-6000. |
| Line 15. |
Total number of employees, including owners, at the physical address indicated on line 4. Please indicate total number of vending machines owned by your business if
applicable. |
| Line 16. |
If the physical address, as indicated on line 5, is in unincorporated Lee County, the strap number is required for zoning purposes. The strap number is the identification number for any parcel of land which is assigned by the Lee County Property Appraiser. |
If your business is located outside the city limits and is being operated from a home (residential) call Community Development Public Works at
533-8585.
For commercial sites located outside city limits, call 533-8329 or provide a copy of your business certificate of occupancy (use).
Businesses located outside of Lee County must attach a copy of your home-base city or county
Business Tax Receipt.
