Type Full Name :
Sign With Hand
Phone # *
Name *
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Address *
Central Station
Email
Does alarm reset itself?
Emergency Contact/Person Responsible for Regular Maintenance Details.
Email *
Fire
Last Name
Block
***Payment will NOT be requested until your application has been approved & accepted.***
Please monitor your e-mail for the Payment Request e-mail.
***Please DO NOT SUBMIT DUPLICATE REQUESTS.***
If "Lease", length of lease?
First Name
How long will alarm sound before resetting? (Time in Minutes)
Alarm Company Information
Email
Last Health Inspection Date (if applicable)
Last Health Inspection Status (if applicable)
Inspection for New Businesses or Change of Use
Business Location
Application Type *
ZIP *
Email
No of units
Is alarm audible?
Last Fire Inspection Date *
City *
Address *
Last Fire Inspection Status *
An inspection must be completed by the department of Construction and Code Enforcement before this application can be approved. The inspection fee is $250 payable by cash or check to City of Somers Point. This fee is separate of the Mercantile License / Business Registration fee. Please send the inspection fee to: 741 Shore Rd, Somers Point, NJ 08244 (include GovPilot Reference # with payment).
Lot
If “Yes”, state the previous business (if known)
City, State, ZIP *
State *
Phone #
Own or Lease the building? *
Last Name *
Block
City *
Are Sprinklers Required? *
ZIP
Panic/Hold-up
Temperature
Supervisor Name *
Was the Property Previously Occupied? *
Owner name
Business Name *
Attach your documents
Address *
Title
Email *
Person to be contacted to setup inspections?
Email
Phone # *
Phone #
Lot
Last Name
Outstanding Violations
Building Owner Details
Flood
Installation Company
Property address
State
State *
Other
An inspection must be completed by the department of Construction and Code Enforcement annually before this application can be approved. Please contact 609-927-9088 ext 142 to set up the inspections.
Burglary
Phone #
Taxi Cabs
Phone # *
Lock Box code
Last Name *
I (we) hereby certify that I (we) have read this application thoroughly and the information contained herein is true and accurate.

Mercantile Registration Ecode.
The following Application Fee shall apply to this Business Type
Phone #
Days and Hours of Operation *
Will signage be added or any alterations made to existing signage?
Phone # *
Business Type *
Address *
Rental Owner Email
Certification
Types of Alarms Monitored (Select all that apply)
Garages & Parking Lots
Title
Other Business Details
Applicant Signature *
Business Owner Details
Inteded Use
First Name *
Description of Business *
Phone #
# of Employees *
Building occupied
Is this a Short Term Rental?
First Name *
City *
Involves Flammable/Hazardous Materials? *
1. CCO
2. Certificate of General Liability Insurance in the amount of $500,000 for all business owners, must include the business name and Somers Point address.
3. Restaurants must attach their County Board of Health Certificate. Please upload attachments as PDF, JPG, or JPEG
4. A copy of your Certificate or License issued by the State of New Jersey or any governmental agency if applicable.
Short-Term Rental
Will there be any alterations/construction?
Title
Any changes from previous mercantile use? *
Email *
ZIP *
Medical
Mercantile License, Business Registration
Phone #
First Name