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Type Full Name :
Sign With Hand
Clear
Done
Phone #
*
Name
*
Vending/Lottery Machine(s)
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Type of Sign
Address
*
Boat Slips
Central Station
Email
Does alarm reset itself?
Emergency Contact Details (Up to 3, 1 Required)
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.***
Pinball Machine(s)
Multi-Room Cabins or Trailers
If "Lease", length of lease?
First Name
How long will alarm sound before resetting? (Time in Minutes)
Tennis/Squash/Handball/Paddleball Courts
Alarm Company Information
Ice Machines
Email
Inspection
Business Location
Application Type
*
Rooms (Hotels/Motels)
Email
No of units
Is alarm audible?
Will You Be Installing a Sign?
*
Address
*
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).
Seats (Restaurant)
Lot
If “Yes”, state the previous business (if known)
Phone #
Own or Lease the building?
*
Last Name
*
Size of the Sign (SQFT)
Block
City
*
ZIP
Panic/Hold-up
Temperature
Supervisor Name
*
Was the Property Previously Occupied?
*
Bowling Alleys
Owner name
Title
*
Business Name
*
Attach your documents
Title
Email
*
Person to be contacted to setup inspections?
Email
Phone #
*
Phone Number
Lot
Last Name
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.
Movie Theater Projectors
Electrical Transmissions
Burglary
Washers/Dryers/Laundromat
Phone Number
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.
Baths, Saunas, Pools
The following Application Fee shall apply to this Business Type
Phone #
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
Single Room Cabins or Trailers
Other Business Details
Applicant Signature
*
If you have any of the following, please select and list how many:
Business Owner Details
Inteded Use
First Name
*
Description of Business
*
Phone #
Building occupied
First Name
*
City
*
Gas Pumps
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
Short-Term Rental
Will there be any alterations/construction?
Title
Pool Table, Music, Video Games, Auto. Slot Machines, etc.
Email
*
ZIP
*
Medical
{[PNAME]}
Phone #
First Name
Your application has been submitted successfully.
Reference #
Date Submitted:
Business Name:
Fee:
Confirmation email sent to:
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Reference Number
Business Owner First Name
Business Owner Email
Business Name