Begin by typing the Business Address, then select an address from the list that is populated below.
DBA Name
Suite/Unit #
City
{[PNAME]}
Application Type
3518 Broad Street
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
City
Legal Business Name
Business Information
State
State
Email
E Verification #
Phone #
Website (If Applicable)
Address
Fee Total
# of Employees
Business Address is The Same as The Business Mailing Address?
Briefly Describe all Business Activities at Establishment
Fee Total Formula
Mailing Address
ZIP
What are the days and hours of operation?
Address 2
ZIP
  • Contacts
  • Entity
  • Attachments & Fees
  • Certification
Citizenship
Address
Address
Applicant Information
Age
City
State
ZIP
Phone #
Applicant over 21?
ZIP
Address
Email
Name
Date of Birth
Email
City
Email
Registered Agent Information
Registered Agent Must be a Dekalb County Resident
Applicant is The Property Owner?
State
State
Phone #
ZIP
Name
Resident Alien Card #
City
Name
Phone #
Property Owner Information
SSN #
Phone #
ZIP
Entity Name
Email
  • List all officers, directors, and the on-premises manager of the establishment.

  • A sole proprietor, and all persons listed below must provide proof of age by providing a driver’s license or picture identification containing date of birth from a state or federal government. Sec. 22-304(c)(7).

  • One listed owner or one listed manager MUST be on site at all times that the establishment is occupied by patrons.

  • The office of Finance Director MUST be provided written notice of any new manager before the new manager begins working as a manager for the establishment.

  • List all staff regardless of employment type. There MUST be a list readily available upon request during inspection of the premises along with copies of the State Licenses or Massage Work Permits to accompany this form.
Employee Information
Total Ownership %
Business History
State
City
Legal Entity Information
List all partners, members, or shareholders (natural persons) holding a ten percent (10%) or greater ownership interest in such legal entity. Also list officers, directors, and the on-premises manager of the establishment. A *sole proprietor, and all persons listed below must provide proof of age by providing a driver’s license or picture identification containing date of birth from a state or federal government. Sec. 22-304(c)(7).
(One listed owner or one listed manager MUST be on site at all times that the establishment is occupied by patrons.)

Please set forth any massage therapy or similar business history and experience, to include, but not limited to, whether or not such person has previously operated in this or another municipality or state under a license or permit or has had such license or permit denied, revoked or suspended and the reason therefor and the business activities or occupations subsequent to such action or denial, suspension or revocation.

please Type N/A if this is not applicable.
Ownership Type
Address
Required Documents
Fee Schedule
License Fee
Payment Method
Please Note that the Investigation Fee is Non-Refundable, you wil be asked to pay the Full License Fee and or any Late Fees once your Application has been Approved.
LICENSE FEE $400
INVESTIGATION FEE $200
LATE FEE (Renewals) 20% of License fee, after November 2nd

Make check or money order payable to: City of Chamblee

APPLICANT CHECK LIST:

  • Complete application submitted online and full payment of all regulatory fees
  • Copy of state license(s) of all massage therapists along with a color photo (No smaller than 2” X 2”)
  • Attach a copy of your $15,000 surety bond issued by an approved company by the Georgia Insurance Commission for 2023
  • Attach a copy of the lease for the commercial location with the City of Chamblee
  • Attach a copy of your valid City of Chamblee Business Occupation Tax Certificate for the current year
  • Return Fingerprint Acknowledgment Form
  • Private Employer Affidavit Pursuant to O.C.G.A. §36-60-6(d)
  • S.A.V.E. AFFIDAVIT
Investigation Fee
Type Full Name :
Sign With Hand
Pay By Credit Card
Acknowledgment

By signing the following, I/we agree and certify:

  1. To supplement the information contained in this application within ten (10) working days of any change of circumstances that renders the information false or incomplete [in writing, by certified mail, return receipt requested, to the City of Chamblee Finance Director].

  2. That the information provided in this application is true, complete, and accurate. I/we hereby authorize the City of Chamblee or its designated agent to obtain and review copies of any criminal history in my name or any alias used by me in the past or at the present. I/we understand that this information may be used against me during the City of Chamblee investigation.
Pay Later

If the applicant is a legal entity, provide copies of its certificate/articles of organization or incorporation.
Provide a copy of a $15,000 surety bond, issued by a company approved to issue surety bonds by the Georgia Insurance Commissioner, payable to the City of Chamblee upon entry of an injunction by the Dekalb County Superior Court against operation of the applicant's massage establishment or spa establishment duo to unlawful operation of same while the applicant held a Chamblee massage/spa establishment license.

For every person on the premises who offers, or will offer, services requiring that they be licensed by the State of Georgia pursuant to O.G.C.A. Section 43-24A-1, et seq., attach a copy of the state license for each such person as well as a color photograph, no smaller than 2 inches by 2 inches, showing the face, neck, and shoulders of each such person.

The applicant, and each person in the Subsection (c)(7) list, must submit their fingerprints for a criminal background check.
(Fingerprinting not required for a Licensed Massage Therapist)

I, the undersigned acknowledge it is my responsibility to be familiar with the City of Chamblee Code of Ordinances, Chapter 22. Article 8. Massage or Spa Establishments and any revisions that may occur, on behalf of the massage establishment or spa establishment applying for a license.

Applicant Signature
Acknowledgement
If you need to make your payment by mail or in person, our office is located at:

City of Chamblee
3518 Broad Street
Chamblee, GA 30341

or
Certification
In order to receive your permit, you must first pay the above Application Fee.

If you'd like to pay now by Credit Card, click the Submit & Pay Now button below.