§ 113.025 CONTENTS OF APPLICATION.
   (A)   The completed application shall be accompanied by the following documents and shall be accompanied by a non-refundable application fee of $500 which shall be used to defray the costs of the application review process by various offices and departments; provided, however, that the unused portion of the fee after deducting the costs associated with processing the fee shall be applied as a credit toward the annual license fee for licensing under this chapter.
   (B)   If the applicant is:
      (1)   An individual, the individual shall state his or her legal name to include any and all aliases, residential street address, residential telephone number, an address where all correspondence from the town should be mailed, and submit proof that he or she is 18 years of age or older by providing a copy of a valid driver’s license, voter’s registration card or another state issued identification card; or a certified copy of a birth certificate;
      (2)   A partnership or trust, the partnership or trust shall state its complete name, and the names, residential street addresses and telephone numbers of all partners, whether the partnership is general or limited or trustees, the name and residential street address of at least one person authorized to accept service of process and, if in existence, a copy of the partnership agreement;
      (3)   A corporation, the corporation shall provide a copy of its articles of incorporation stating its complete name, the date of its incorporation, evidence that the corporation is in good standing, the names, residential street addresses, telephone numbers and capacity of all officers, directors and principal stockholders, and the name of the registered corporate agent and the legal street address of the registered office for service of process;
      (4)   A limited liability company, the company shall provide a copy of its articles of organization and operating agreement stating its complete name, the date of its organization, evidence that the company is in good standing, the names, residential street addresses, telephone numbers and capacity of all members, including its managing member(s), and the name of the registered corporate agent and the legal street address of the registered office for service of process; or
      (5)   Any other entity, the entity shall state its complete name, the date of formation, the names, residential address, telephone numbers and capacity of all principal owners, and the name and residential street address of one person authorized to accept service of process.
   (C)   If the applicant intends to conduct activities in the establishment or business under a name other than that of the applicant, the applicant shall state the establishment’s or business’ fictitious name or names and the county of registration under F.S. § 865.09, or its successor and all business names and telephone numbers to be used by the establishment or business.
   (D)   The applicant shall state whether the applicant or any of the other individuals listed on the application has, within the five-year period immediately preceding the date of the application, been convicted of a specified criminal act, and, if so, the specified criminal act involved, the date of conviction and the place of conviction.
   (E)   The applicant shall state whether the applicant or any of the other individuals listed pursuant to division (B) above has had a previous license under this chapter suspended or revoked including the name and location of the establishment for which the license was suspended or revoked, the date of the suspension or revocation, and whether the applicant or any other individuals listed pursuant to division (B) above has been a partner in a partnership or an officer, director or principal stockholder of a corporation, or a managing member or member of a limited liability company whose license under this chapter has previously been suspended or revoked including the name and location of the establishment for which the license was suspended or revoked, or has been a member, officer, director or managing member of a limited liability company whose license under this chapter has previously been suspended or revoked including the name and location of the establishment for which the license was suspended or revoked, as well as the date of the suspension or revocation.
   (F)   The applicant shall state whether the applicant or any other individuals listed pursuant to division (B) above holds any other licenses under this chapter and, if so, the names and locations of other licensed establishments.
   (G)   The applicant shall state the single classification of license for which the applicant is filing. No applicant shall apply for more than one classification in one location.
   (H)   The applicant shall state the location of the proposed establishment or business including a street address, the name and address of the real property owner of the site, a notarized statement of consent from the real property owner authorizing a sexually-oriented business or adult entertainment establishment on the site, and a legal description of the property on which the establishment is to be located.
   (I)   The applicant shall provide the names of the workers for the proposed establishment or business, if known, or, if presently unknown a statement to that effect.
   (J)   The applicant shall submit a plan drawn to appropriate scale of the proposed licensed premises indicating the areas to be covered by the license, all windows, doors, entrances and exits and the fixed structural features, walls, stages, partitions, projection booths, admission booths, adult booths, concession booths, stands, counters and similar structures of the establishment or business to which the proposed license pertains. The term FIXED STRUCTURAL FEATURES shall include immovable partitions and counters and similar structures that are intended to be permanent.
   (K)   The applicant shall provide a mailing address, and, if different, a designated return address where all future correspondence from the town may be sent and the applicant’s telephone number where communications and inquiries can be made.
   (L)   The applicant shall provide a recent color photograph of the applicant in passport size if an individual and of each officer, director and principal stockholder if a partnership, corporation or other similar entity.
   (M)   The applicant shall provide the weight, height, color of eyes, date of birth and gender of the applicant if an individual and of each officer, director and principal stockholder or owner if a partnership, corporation or other similar entity.
   (N)   The applicant shall provide the applicant’s Social Security account number or employer’s tax identification number and either the applicant’s drivers license number or the number of a federal- or state-issued identification card if an individual and of each officer, director and principal stockholder or owner if a partnership, corporation or other similar entity.
   (O)   The applicant shall provide a complete set of the applicant’s fingerprints if an individual and of each officer, director and principal stockholder or owner if a partnership, corporation or other similar entity.
   (P)   The applicant shall provide a copy of the most recent lease or deed of conveyance, whichever is applicable, indicating the applicant’s interest in the proposed establishment.
   (Q)   The applicant shall provide a statement of the hours of operations of the establishment or business.
   (R)   The applicant shall provide a notarized statement that the applicant has complied with the applicable laws of the state relating to corporations, partnerships and fictitious names.
   (S)   It is unlawful for any person applying for an adult entertainment establishment or sexually-oriented business license to make a false statement which is intended to facilitate the issuance of a license or to provide false information which is intended to facilitate the issuance of a license.
(Ord. 2007-11, passed 6-26-2007) Penalty, see § 113.999