Pismo Beach Business License Application

General Business Information

Business Name*
Attention
Business Location Address
(Cannot be a P.O. Box)*
City* State* Zip*

Mailing Address same as Business Address

Mailing Address *

Mailing City* Mailing State* Mailing Zip*

Business Phone*
Primary Contact E-Mail Address*
Start Date in Pismo Beach*

Open the calendar popup.

Type of Ownership*

select

Business Description (List all business activities from this location)*

Please select the business type that matches your's best.*

select

Please select the NAIC that matches your's business

select

Need help with NAICS? Visit www.naics.com/search/

Please fill in if applicable:
Resale Number

Federal I.D. Number State Employer ID No.

State Contractor License Number License Type or Class
Contractor Expiration Date

Open the calendar popup.

Number of Employees: *

Do you have a Maintenance/ Gardener’s Pest Control License? * Yes No Pest Control License Number

Do you intend to put up a sign? (If so, a permit is required)* Yes No

Are you the property owner?* Yes No

Estimate the average number of persons that you expect will come to your home on a regular basis:

Daily: Weekly: Monthly:

State the use (clients or delivery trucks) or frequency (daily/weekly/?) of vehicles that will be related to your business and will increase traffic on your street:

I certify that I have read the above Permit Requirements.

Do you cook/serve food at your business? * Yes No

Please enter estimated gross receipts:*

If applicable: Number of:

Rentals

Coin Operated Machines

Vehicles

Seats

Pool Tables

Bowling Lanes

Billboards

Owner Information

Title*
Owner Name*

Address*
City* State* Zip*
Phone
Driver's License No Social Security #

Title
Second Owner Name:
Phone

Emergency Contact Name*
Emergency Contact Title*
Emergency Contact Phone for Fire/Police*

Renewal Notice Delivery Method *

Opt for Paper Only (You can still renew and pay online) Opt for Email Only

Agreement

CERTIFICATION AND WARNING: I , declare under penalty of perjury that this statement has been examined by me and to the best of my knowledge and belief is a true, correct and complete statement:

ISSUANCE OF A BUSINESS TAX CERTIFICATE DOES NOT CONSTITUTE A PERMIT TO DO BUSINESS. IT IS THE RESPONSIBILITY OF THE BUSINESS OWNER TO MAKE SURE THE BUSINESS COMPLIES WITH ALL LAWS AND REGULATIONS PERTAINING TO THE SPECIFIC BUSINESS. IT MAY BE NECESSARY TO CONTACT THE PISMO BEACH POLICE DEPARTMENT AND/OR THE COMMUNITY DEVELOPMENT DEPARTMENT PLANNING DIVISION, AS WELL AS STATE LICENSING AGENCIES AND THE SAN LUIS OBISPO COUNTY HEALTH DEPARTMENT TO BE SURE YOUR BUSINESS IS NOT IN VIOLATION OF ANY RULES.

EACH LICENSE WILL CARRY A STATEMENT THAT THE ANY BUSINESS SELLING GOODS IS REQUIRED, AND BY ACCEPTING THE LICENSE AGREES, TO PROPERLY REPORT HIS/HER SALES WITHING THE CITY OF PISMO BEACH TO THE STATE BOARD OF EQUALIZATION.

NOTE: BUSINESS TAX CERTIFICATES ARE NOT TRANSFERABLE BETWEEN OWNERS

Executed the .

Please sign your name below, using the mouse or your touch screen enabled device. To use mouse, left click and hold while dragging the mouse over the signature line.