Assembly Business Mercantile Educational Storage Other

Business Information

Commercial Business
Registration

100 First Avenue
Atlantic Highlands, NJ 07716
Phone #: (732) 291-1444 | Fax: (732) 291-9725
www.ahnj.com

Fee Information

Are Hazardous Materials Stored?

I certify that all the information mentioned above is true to my knowledge.

Total Square Feet

Address 2

LHU Code / Use Group *

Applicant Signature *

The fee due for this application is $50.00.

Street Address

Certification

Full Address, City, State & ZIP *

Sprinklers

Average Number of Employees at any given time

You MUST add at least one emergency contact. This is someone who has keys to the business in case of an emergency.

Fire Alarm System Company

Name of Office Bldg/Shopping Center

Phone # *

State Registration # *

Enter the details in the grid below:

(Check all that apply)

Borough of
Atlantic Highlands

Type of Occupancy *

Phone # *

Block #

Fire Alarm Company *

Hood System

Email *

Complete Name *

Lot #

Heat Detectors

Emergency Contacts

Business Owner's Details

Phone # *

Smoke Detectors

Begin typing address and select from the populated dropdown *

Full Address, City, State ZIP *

Business Name *

Business Hours *

Fee