Type Full Name :
Sign With Hand
ZIP
City
# of Bedrooms *
New Occupant Details
Company
Address
Provide details of all new occupants, if applicable.
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[PPHONE]}
{[AWEBSITE]}
Property Owner Details
Type *

You must submit the following documents with your application:

  1. Certificate of Land Use (Contact - City: (609) 347-5404 or CRDA Tourism District - (609) 347-0500)
  2. Smoke Certification (single-family or duplex only) Contact: Fire Prevention - City Hall - Room 130 (609) 347-5595
  3. Pest Certification (see below)
  4. A Copy of the Lead Certificate (see below) 

All owners of properties or units constructed prior to 1978 that are NOT DCA “Department of Community Affairs” inspected are required to submit a Lead Safe or Lead Free Certification via the Lead Rentals Inspection Application with a $45 remittance for each property or unit. If you have not already done so, please click here.

Please NOTE: Once the Certificate of Occupancy is approved, then a Landlord Registration can be completed.

Pest Certification

You shall be required to furnish a CERTIFIED EXAMINATION REPORT from a "LICENSED" Exterminator stating that your unit(s) is/are free of "BED BUGS" and any other insects and/or rodents.

 

Signature *
# of Units (If Multiple)
For Rentals Only *
By signing below, I the owner certify that all of the information provided in this application is true and accurate. I certify that this dwelling and all other structures on the property meet the zoning requirements of the {[CNAME]} I attest to the fact that no rubbish/debris/bulk garbage will be left on this property prior to new occupancy. I understand that failure to comply will result in retraction of the Occupancy Permit and a summons will be issued. I understand that this applies to all properties that fall within the {[CNAME]}.
Business Type
Contact Person Details
Address *
Buyer Type
Email
Select and attach documents below.
PLEASE NOTE: If the property owner does not live in Atlantic County, you will need to supply information for a Contact Person who resides in Atlantic County and is authorized to accept notices from a tenant, to issue receipts and to accept service of process on behalf of the record owner.
Name
Qualifier
Lot
State
Email *
Block
Begin typing address and select from the populated dropdown *
Address
**Please Note that All UTILITIES MUST BE TURNED ON for an inspection to be performed.
Name
Buyer
Email
Application Details
Name
Company
Closing Date (If Applicable)
Address
{[CNAME]}
Phone #
Property Details
Who should we contact for inspections?
Certification
Name *
window guards to be installed on the windows of the above-reference rental units as per the City Code of Atlantic City.
Address *
{[PNAME]}
If the owner is an LLC, Corporation or Partnership, the following information must be included: individual names of all members of the LLC, principals of the corporation or partners in the partnership.
Amount Due
Attach Required Documents *
Agent Details
Unit #
City
City, State, Zip
ZIP
Phone #
Email
Ownership Type *
If the buyer is an LLC, Corporation or Partnership, the following information must be included: individual names of all members of the LLC, principals of the corporation or partners in the partnership.
City, State, ZIP *
Select 'Yes" to indicate that you have read and understood all of these requirements *
Phone # *
Phone #
I hereby
State