SHORT TERM RENTAL LICENSE APPLICATION

SHORT TERM RENTAL

LICENSE APPLICATION

SUPPLEMENTAL APPLICATION TO APPLY FOR A SHORT-TERM RENTAL LICENSE

By Ordinance No. 2019-15

City of Snellville

Planning & Development Department DATE RECEIVED:

2342 Oak Road, 2

Floor

Snellville, GA 30078 PERMIT/LICENSE #

Phone 770.985.3515 Fax 770.985.3551 www.snellville.org rev 102919

Property Owner of Record is:  Individual  Joint/Partnership  Limited Liability Company (LLC)  Corporation (INC)

_____________________________________ Property Information

Name (Individual / Joint / Partnership)

_____________________________________ ______________________________________

Company Name or Corporate Name Property Address Unit #

_____________________________________ ______________________________________

Mailing Address Subdivision Name

_____________________________________ ______________________________________

City, State, Zip Code City, State, Zip Code

_____________________________________

Phone Number E-Mail HOA/POA Covenant Community?:  Yes*  No*

* The allowance of short-term rentals pursuant to the Short-term Rental Ordinance shall not prevent enforcement of additional restrictions that

may be contained in restrictive covenants or other private contractual agreements or arrangements.

-------------------------------------------------------------------------------------------------------------------------------------------

24-Hour Local Contact (Name): __________________________________________________ Mobile Phone:_______________________________

E-Mail: _______________________ Address (Street / City):_______________________________________ Miles from Rental Unit: ____

---------------------------------------------------------------------------------------------------------------------------------------

Dwelling is:  Single-family Unit  Duplex  Multi-family Unit And contains ________ Bedrooms as defined below, with each bedroom

Measuring: Bedroom (1): ______ SF Bedroom (2): ______ SF Bedroom (3): ______ SF Bedroom (4): ______ SF  Check if more than 4

What is the Maximum Number of Overnight Occupants? _____ What is the Maximum Number of Onsite Paved Parking Spaces for Overnight

Occupants? _____ The number of overnight occupants shall not exceed two (2) persons per bedroom plus two (2) additional persons per unit.

------------------------------------------------------------------------------------------------------------------------------------------

Definitions:

Bedroom – is a room that is designed to be, or meets the building code requirements to be used as a sleeping room and for no other purpose.

Every bedroom shall have an emergency escape or rescue exit and the minimum ceiling height as follows: (a) Each bedroom shall have at least

one operable window or door for emergency escape or rescue that opens directly to the exterior of the unit. The emergency door or win-

dow shall be operable from the inside to provide a full, clear opening without the use of separate tools. Escape or rescue windows shall have a

minimum net clear openable area of 5.7 square feet. The minimum net clear openable height dimension shall be 24 inches. The minimum net

clear openable width dimension shall be 20 inches. When windows are provided as a means of escape or rescue, they shall have a finished sill

height not more than 44 inches above the floor; (b) Bedrooms shall have a ceiling height of not less than eight feet, except as provided in this

section. If any room has a sloping ceiling, the prescribed ceiling height for the room is required in only one-half of the area thereof.

Code Compliance Verification Form – means a document executed by a short-term rental owner certifying that the short-term rental unit

complies with applicable zoning, building, health and life safety code provisions. No person shall allow occupancy or possession of any short-

term rental unit if the premises or owner thereof is in violation of any applicable zoning, building, health or life safety code provisions.

Local Contact Person – means an owner or local property manager authorized by the owner of the short-term rental to take remedial action

and respond to any notice of violation of the Short-Term Rental Ordinance, who resides in the City of Snellville or no more than fifty (50)

miles from the short-term rental.

Noise Regulations – means those regulations contained in the Code of Ordinances of the City of Snellville, Georgia, Part I, Chapter 26, Article V.

Owner – means a person(s) or entity that holds legal and/or equitable title to private real property.

Short-Term Rental – means one or more dwelling units, including either a single-family home, duplex or single multi-family residential unit

rented not more than thirty (30 consecutive nights.

Application Fee:

An application fee for a short-term rental business license shall be accompanied by an initial fee in accordance with Section 54-152 (Tax Levied) of

the Code of Ordinances of the City of Snellville, Georgia.

SHORT-TERM RENTAL LICENSE CONDITIONS & REQUIREMENTS

I/WE, THE UNDERSIGNED OWNER(S) OF REAL PROPERTY LOCATED IN THE CITY OF SNELLVILLE, GEORGIA, DO

HEREBY STATE OUR INTENT TO RENT THE PREMISES TO INDIVIDUALS OR GROUPS FOR THE PURPOSE OF SHORT-

TERM RENTAL NOT TO EXCEED THIRTY (30) CALENDAR NIGHTS AND UNDERSTAND THAT THE SHORT-TERM

RENTAL LICENSE IS SUBJECT TO THE FOLLOWING CONDITIONS:

(a) STANDARD CONDITIONS

1. Applicant hereby acknowledges that a copy of the Short-Term Rental Ordinance, Ordinance No. 2019-

15 and referred to as (“the Ordinance”) or any amendments thereafter) has been provided to me and

that I have read the ordinance in its entirety and agree to the terms set forth in the Ordinance.

2. No person shall allow occupancy or possession of the short-term rental unit if the premises or owner

thereof is in violation of any applicable zoning, building, health or life safety code provisions.

3. It shall be unlawful for any owner of any property within the City of Snellville, Georgia, to rent or

operate a short-term rental or residential property contrary to the procedures and regulations

established by the Ordinance, other provisions of the Code of Ordinances of the City of Snellville,

Georgia, or any applicable state law.

4. An executed Code Compliance Verification Form acknowledging that all designated bedrooms meet all

local building and safety code requirements is made part of this application.

5. Applicant hereby acknowledged his/her duty to collect a state sales/use tax and remit same in

accordance with the rules and regulations of the Georgia Department of Revenue.

7. The owner shall, by written agreement with the occupants, limit the number of vehicles of overnight

occupants to the number designated in the business license application; with the number of vehicles of

overnight occupants not to exceed the number of designated on-site parking spaces of the short-term

rental property.

8. The owner shall, by written agreement with the occupants, limit daytime visitors at any time on the

short-term rental property to no more than six (6) persons in addition to the maximum overnight

occupancy designated in the business license application.

9. The owner shall use best efforts to ensure that the occupants and/or guests of the short-term rental do

not violate Noise Regulations by notifying the occupants of the rules regarding short-term rentals and

responding when notified that occupants are violating laws regarding their occupancy.

10. The owner of the short-term rental unit shall post a copy of the business license and a copy of the

conditions set forth in the Ordinance in a conspicuous place within the short-term rental unit.

11. No business license issued under this section shall be transferred or assigned or used by any person

other than the owner to whom it is issued, or at any location other than the one for which it is issued.

12. All business licenses issued under this section shall be valid for no more than one year, beginning on the

date of issuance and expiring on December 31st of that year.

(b) SIGN AND NOTIFICATION REQUIREMENTS

1. Each short-term rental shall have a clearly visible and legible notice conspicuously posted within the unit

on or adjacent to the front door, containing the following information:

a. The name of the local contact person or owner of the unit, and a telephone number at which

that party may be reached on a 24-hour basis;

b. The maximum number of overnight occupants permitted to stay in the unit;

c. The maximum number of vehicles allowed to be parked on the property including a sketch of

the location of the on-site parking spaces;

d. The maximum number of daytime visitors allowed in addition to the overnight occupants;

e. The trash pickup day and notification that trash and refuse shall not be left or stored on the

exterior of the property unless it is placed in a curbside container, and that the curbside

container shall not be placed sooner than 24 hours prior to the pickup day, and must be

removed no later than 24 hours after pickup (if owner provides daily trash removal then this

notice is not necessary);

f. Notification that an occupant may be cited and fined for creating a disturbance or for violating

this section or other provisions of the Code of Ordinances.

g. Notification that failure to conform to the parking and occupancy requirements of the structure

is a violation of this section; and

h. A statement advising the occupant that any failure to conform to the Noise Regulations is a

violation of the Ordinance.

1. Short-term rentals shall comply with all applicable ordinances regarding parking. Owner shall provide

sufficient parking for guests such that all parking is accomplished on paved parking spaces within the

property site. No parking to accommodate renters or invitees of short-term rentals is permitted on the

City right-of-way or along any roadways at any time.

(d) LOCAL CONTACT PERSON

1. Each owner of a short-term rental shall designate a local contact person who has access and authority

to assume management of the unit and take remedial measures. An owner of a short-term rental who

resides in the City Limits of Snellville or within 50 miles of the short-term rental may designate himself

or herself as the local contact person. The local contact person shall be required to respond to the

location of the short term rental within one hour after being notified by the Police or Code

Enforcement of the existence of a violation of this chapter or any other provision of this Code, or any

disturbance requiring immediate remedy or abatement.

2. The owner must immediately notify the Director of Planning & Development in writing upon a change

of local contact person or the local contact person's telephone number. This notification will be on

forms prescribed by the Director of Planning & Development. The new, revised business license will

not extend the expiration date of the business license, and will be issued for a fee of $25.00, and must

be posted within ten (10) days of any change of local contact person information.

(e) HOTEL/MOTEL TAX

1. All short-term rentals shall be subject to Sec. 54-271 et. seq. of the Snellville Municipal Code.

2. Applicant hereby acknowledges his/her duty to collect a hotel/motel tax and remit same to the City

Clerk of the City of Snellville, Georgia monthly on or before the 20

day of each succeeding month in

which such taxes are collected. A report is due even if no rent is collected for the month on or before

the 20

day of the following month.

(f) OTHER REQUIREMENTS

1. All short-term rentals shall comply with each of the following:

a. An interconnected and hard-wired smoke detection and notification system is required and

must be operable and in good working order at all times.

b. Owner must install and maintain security cameras that provide video coverage and recording of

the driveway and all entry points for the short-term rental property.

c. Any advertising of the short-term rental unit shall conform to information included in the short-

term rental business license and requirements of this section, and shall include notification of

the maximum occupancy, maximum number of vehicles allowed, and provisions regulating noise.

d. Compliance with these standards shall be in addition to compliance with all other provisions of

this Code relating to nuisance, peace and safety.

e. In addition to any requirements of this Section, any structure being operated as a short-term

rental, with a capacity for more than ten (10) overnight guests at a time shall be required to

meet all local, state and federal access and life safety codes, rules and regulations that are

otherwise applicable to hotels as defined in such codes, rules and regulations. In the event there

is a conflict between the requirements of this Section and such other codes rules or regulations,

the requirement that is more protective of the public health, safety and welfare shall prevail.

(g) CODE COMPLIANCE VERIFICATION

1. Applicant hereby certifies that the short-term rental unit complies with applicable zoning, building,

health and life safety code provisions. No person shall allow occupancy or possession of any short-term

rental unit if the premises or owner thereof is in violation of any applicable zoning, building, health or

life safety code provisions.

2. All short-term rental bedrooms indicated on page one (1) of this application meet the definition for

‘Bedroom’ and each contain the minimum requirements for ceiling height and emergency escape.

PROPERTY OWNER

OATH AND CERTIFICATION

I, _____________________________, solemnly swear, subject to the penalties for false

swearing as provided under Georgia Law, all information required in this

application and supporting documents for a Short-Term Rental License is true and

correct to the best of my knowledge and I fully understand that any false

information may cause the denial or revocation of said license. And, I have read

and understand the requirements set forth in paragraphs (a) through (g) of the

Short-Term Rental License Conditions and Requirements above. I hereby

acknowledge that all designated bedrooms meet all local building and safety code

requirements. I further state that I have received a copy of the Short-Term Rental

Ordinance, having reviewed it and understanding the terms and conditions stated

within the Ordinance and am authorized to make application for said license.

_______________________________________________ ____________________

Print Full Name Date

________________________________________________ ____________________________________

Signature of Owner Title

SWORN TO AND SUBSCRIBED BEFORE ME THIS _______ DAY OF _____________________, 20_____

___________________________________________

Notary Signature AFFIX NOTARY SEAL HERE

24-HOUR LOCAL CONTACT PERSON

OATH AND CERTIFICATION

I, ___________________________________, solemnly swear, subject to the penalties

for false swearing as provided under Georgia Law, that the information in the 24-

hour contact section on page one (1) of the application is correct and that I give

permission to the property owner to designate me as the 24-HOUR LOCAL

CONTACT PERSON who has access and authority to assume management of the

unit and take remedial measures as may be required and respond to the short-

term rental location within one (1) hour after being notified by the Snellville Police

Department or Snellville Code Enforcement of the existence of an Ordinance

violation or any disturbance requiring immediate remedy or abatement. And, I

have read all regulations pertaining to the operation of a short-term rental unit.

_______________________________________________ ____________________

Print Full Name Date

________________________________________________ ____________________________________

Signature of Local Contact Person Title

SWORN TO AND SUBSCRIBED BEFORE ME THIS _______ DAY OF _____________________, 20_____

___________________________________________

Notary Signature AFFIX NOTARY SEAL HERE

Please allow five (5) business days for application review and processing

You will be contacted upon application approval

PLANNING DEPARTMENT USE ONLY

TAX PARCEL NO. _________________ ZONING DISTRICT: ___________ PROPERTY SQ. FT.: ______________ BUILDING SQ. FT.:_____________

NO. OF BEDROOMS: _______ NO. OF BATHROOMS: ________ NO. OF ONSITE PAVED PARKING SPACES: _________

PROPERTY OWNERSHIP VERIFIED:  YES  NO 24-HOUR CONTACT IS LOCATED ___________ MILES FROM SHORT-TERM RENTAL LOCATION:

DIAGRAM AND/OR PHOTOGRAPHS OF THE PREMISES SHOWING AND INDICATING THE NUMBER AND LOCATION OF ONSITE PAVED PARKING

SPACES AND THE MAXIMUM NUMBER OF VEHICLES ALLOWED FOR OVERNIGHT OCCUPANTS S UBMITTED:  YES  NO

CITY OF SNELLVILLE HOTEL/MOTEL OCCUPANCY TAX REGISTRATION CERTIFICATE NO.: _________________

GEORGIA DEPARTMENT OF REVENUE SALES TAX CERTIFICATION NUMBER: _______________________________________

ANY STRUCTURE OPERATED AS A SHORT-TERM RENTAL, WITH A CAPACITY FOR MORE THAN TEN (10) OVERNIGHT GUESTS AT A TIME SHALL BE

REQUIRED TO MEET ALL LOCAL, STATE AND FEDERAL ACCESS AND LIFE SAFETY CODES, RULES AND REGULATIONS THAT ARE OTHERWISE

APPLICABLE TO HOTELS AS DEFINED IN SUCH CODES, RULES AND REGULATIONS:  APPLICABLE  NOT APPLICABLE

COMMENTS/REMARKS: _______________________________________________________________________________________________________

REVIEWED AND RECOMMENDED FOR: APPROVAL DENIAL (CIRCLE ONE) BY: ________________________________ DATE: ____________

FINAL ACTION & APPROVAL

APPROVED BY: ___________________________________________________________________________ DATE: ___________________________

MAXIMUM NUMBER OF OVERNIGHT OCCUPANTS: ______ MAXIMUM NUMBER OF VEHICLES ALLOWED TO BE PARKED ON THE PROPERTY: _______

MAXIMUM NUMBER OF DAYTIME VISTORS ALLOWED IN ADDITION TO THE OVERNIGHT OCCUPANTS: 6 PERSONS

CONDITIONS: ______________________________________________________________________________________________________________

OCCUPATIONAL TAX CERTIFICATE NO. ______________________________ EXPIRES: ____________________

SHORT-TERM RENTAL LICENSE VALID:

BEGINNING: _____________________ AND WILL EXPIRE ON DEC 31

OF THE CURRENT CALENDAR YEAR (___________)

APPLICATION CHECKLIST

 Obtain copy and read Short-Term Rental Ordinance (Ordinance No. 2019-15).

 Completed and notarized Short Term Rental License Application.

 Completed and signed Occupational Tax License Application.

 Completed and notarized U.S. Citizen / Qualified Alien Affidavit.

 Completed and notarized E-Verify Affidavit.

 Completed and signed Georgia Sales & Use Tax Affidavit with valid Georgia Sales and Use Tax ID

Number assigned by the Georgia Department of Revenue (https://dor.georgia.gov/taxes/business-taxes/sales-

use-tax).

 Completed and notarized Registered Agent Consent Form.

 Completed and signed Security Alarm Permit Application (for monitored alarm systems only).

 Obtain and provide copy of the Hotel/Motel Occupancy Tax Certificate of Authority from Melisa

Arnold, City Clerk, 770-985-3503 or Email: MArnold@snellville.org).

 Attach a diagram of the premises showing and indicating the number and location of designated on-site

paved parking spaces and the maximum number of vehicles allowed for overnight occupants.

Landscaped areas of any kind shall not be counted as parking spaces. Show the location of the entry

points into the dwelling unit and location of the security cameras that provide video coverage and

recording of the driveway and all entry points.

 Payment of the applicable occupation tax license fee.

SIGN AND NOTIFICATION REQUIREMENTS

Property Owner to Post on Property

Each short-term rental unit shall have a clearly visible and legible notice conspicuously

posted within the unit on or adjacent to the front door, containing the following

information:

 The name of the local contact person or owner of the unit, and a telephone

number at which that party may be reached on a 24-hour basis;

__________________________________ _________________________

24-Hour Contact Name Contact Phone Number

 The maximum number of overnight occupants permitted to stay in the unit;

Number of Overnight Occupants: _______ Persons (Maximum)

 The maximum number of vehicles allowed to be parked on the property is

____________ vehicles. Vehicles must park in the garage and/or on a hard-

surface parking area. Parking in the street is PROHIBITED at all times.

 The maximum number of daytime visitors allowed in addition to the overnight

occupants: 6 Persons

 The trash pickup day and notification that trash and refuse shall not be left or

stored on the exterior of the property unless it is placed in a curbside container,

and that the curbside container shall not be placed sooner than 24 hours prior to

the pickup day, and must be removed no later than 24 hours after pickup (if

owner provides daily trash removal then this notice is not necessary);

Trash Pickup Day is (circle one): MON TUE WED THU FRI

 Notification that an occupant may be cited and fined for creating a disturbance or

for violating this section or other provisions of the Code of Ordinances.

 Notification that failure to conform to the parking and occupancy requirements

of the structure is a violation of this section; and

 A statement advising the occupant that any failure to conform to the Noise

Regulations is a violation of the Short-term Rental Ordinance.

CITY OF SNELLVILLE

DEPARTMENT OF PLANNING AND DEVELOPMENT

2342 OAK ROAD, 2

FLOOR

SNELLVILLE, GA 30078-2361

(770) 985-3513 ~ FAX (770) 985-3551

www.snellville.org

FOR CITY USE ONLY

DATE RCVD __________________

SIC CODE _________ CLASS _____

ZONING DISTRICT ____________

USE PERMITTED _______________

OCCUPATIONAL TAX APPLICATION

(FOR BUSINESS LICENSE)

FOR CITY USE ONLY

DATE PAID _______________

FEES DUE ________________

COMPLETE ALL SECTIONS.

OCCUPATIONAL TAX WILL BE BASED UPON INFORMATION SUPPLIED ON THIS APPLICATION.

APPLICATION FOR: NEW BUSINESS RENEWAL CHANGE IN OWNERSHIP ADDRESS CHANGE

CORPORATE NAME

MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ADDRESS)

BUSINESS NAME

APPLICANT NAME

FED. ID NO. / SSN DATE BUSINESS ESTABLISHED: IN CARE OF

BUSINESS OWNER NAME MAILING STREET ADDRESS

LOCAL STREET ADDRESS

MAILING P.O. BOX

CITY, STATE, ZIP

LOCAL PHONE NUMBERS

TYPE OF OWNERSHIP (CHECK ONE) SOLE PROP _____ PARTNERSHIP _____ CORP _____ LLC _____

BUSINESS (____)__________________ LIST NAMES AND ADDRESSES OF OWNER (IF DIFFERENT THAN APPLICANT) AND/OR LOCAL MANAGER

FAX (____)__________________ _____________________________________________________________

RESIDENCE (____)__________________ _____________________________________________________________

CELLULAR (____)__________________ _____________________________________________________________

EMAIL _______________________________________________

IF CORPORATION, GIVE STATE AND DATE _____________________________

TYPE OF BUSINESS: _____________________________________________ CHECK HERE IF BUSINESS IS IN RESIDENCE

________________________________________________________________________________________________

GROSS RECEIPTS (This information is strictly confidential)

IF BUSINESS CONDUCTED FOR ONLY A PART OF THE PRECEDING YEAR, PART YEAR RECEIPTS MUST BE PRORATED TO FULL YEAR (12 MONTHS). IF NEW

BUSINESS, GROSS RECEIPTS MUST BE PRORATED TO FULL YEAR (12 MONTHS).

$ ______________________________ (PROJECTED MONTHLY GROSS

RECEIPTS)

PROFESSIONAL PRACTITIONERS

Certain PROFESSIONAL PRACTITIONERS may elect to pay $300 per practitioner in lieu of reporting and paying a tax on gross receipts. If you are eligible, and if you and all

members of your firm elect to pay the flat per-practitioner tax this year, check below and you will be charged accordingly.

_______ I ELECT TO PAY A FLAT TAX IN LIEU OF REPORTING GROSS RECEIPTS AND PAYING A TAX BASED ON GROSS RECEIPTS.

PLEASE INDICATE THE NUMBER OF PRACTITIONERS NEXT TO THE APPROPRIATE TYPE OF PROFESSIONAL

__________ Architects __________ Landscape Architect __________ Podiatrist

__________ Chiropractor __________ Land Surveyor __________ Practitioner of Physiotherapy

__________ Dentist __________ Lawyer __________ Psychologist

__________ Embalmer __________ Optometrist __________ Public Accountant

__________ Engineers (Civil, Mech., Etc.) __________ Osteopath __________ Therapists/Counselors

__________ Funeral Director __________ Physician __________ Veterinarian

_______________________________________________________________________________________________

NUMBER OF EMPLOYEES ASSOCIATED WITH BUSINESS (EXCLUDING BUSINESS OWNER) ____________

_______________________________________________________________________________________________

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT AND CONTAINS NO FRAUDULENT INFORMATION.

__________________________________________________ ____________________________________________________ ___________________

APPLICANT NAME (PLEASE PRINT) SIGNATURE DATE

++++++++ PLEASE BE ADVISED -– INCOMPLETE APPLICATIONS CANNOT BE PROCCESSED ++++++++

FOR CITY USE ONLY

BL #__________

rev. 12-2-2011

O.C.G.A § 50-36-1(e)(2)

U. S. CITIZEN / QUALIFIED ALIEN AFFIDAVIT

As a result of recent law change, The City of Snellville, Georgia is required to obtain from each person

applying for a particular public benefit (including new and renewal licenses) a signed and sworn

affidavit verifying his or her lawful presence in the United States that is accompanied by a copy of at

least one “secure and verifiable document.” By executing this affidavit under oath, as an applicant for:

___ Occupation Tax Certificate or ___ Alcoholic Beverage License, for (Business Name)

_____________________________________________________ as referenced in O.C.G.A. § 50-36-1,

from The City of Snellville, Georgia, the undersigned applicant verifies one of the following with

respect to my application for a public benefit (check one

of the following):

a. ______ I am a United States citizen 18 years of age or older. Submit a legible front and

back copy of your current secure and verifiable document(s) such as driver’s

license, passport, or other document as indicated on back page.

b. ______ I am not a United States citizen, but I am a legal permanent resident of the United

States 18 years of age or older, or I am a qualified alien or non-immigrant under

the Federal Immigration and Nationality Act 18 years of age or older with an alien

number issued by the Department of Homeland Security or other federal

immigration agency.

My alien number issued by the Department of Homeland Security or other federal

immigration agency is: _______________________________ (Required).

Submit a legible front and back copy of one of the following secure and

verifiable document(s):

 U.S. Permanent Resident Card (I-551), or

 Valid Foreign Passport with I-94, or

 Temporary Resident Alien Card (I-688), or

 Employment Authorization Card (I-766 or I-688B), or

 Employment Authorization Document (I-688B), or

 Refugee Travel Document (I-571)

In making the above representation under oath, I understand that any person who knowingly and

willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty

of a violation of O.C.G.A. § 16-10-20 and face criminal penalties as allowed by such criminal statute.

Furthermore, the undersigned applicant hereby verifies that applicant has provided at least one secure

and verifiable document, as defined by O.C.G.A. § 50-36-2 with this affidavit.

SWORN TO AND SUBSCRIBED,

____________________________________________ ______________________________

Signature of Applicant Print Name

Before me this ____ day of ________________, 20___;

________________________________________ AFFIX SEAL HERE

Notary Public

My Commission Expires: ___________________

rev. 12-2-2011

Secure and Verifiable Documents

Under O.C.G.A. § 50-36-2

The following list of secure and verifiable documents, published under the authority of O.C.G.A. § 50-36-

2, contains documents that are verifiable for identification purposes, and documents on this list may not

necessarily be indicative of residence or immigration status.

____ United States passport or passport card

____ United States military identification card

____ Driver’s license issued by one of the United States, the District of Columbia, the Commonwealth of

Puerto Rico, Guam, The Commonwealth of the Northern Marianas Islands, The United States

Virgin Islands, American Samoa, or the Swain Islands, provided that it contains a photograph of the

bearer or lists sufficient identifying information regarding the bearer, such as name, date of birth,

gender, height, eye color, and address to enable the identification of the bearer.

____ Identification card issued by one of the United States, the District of Columbia, the Commonwealth

of Puerto Rico, Guam, The Commonwealth of the Northern Marianas Islands, The United States

Virgin Islands, American Samoa, or the Swain Islands, provided that it contains a photograph of the

bearer or lists sufficient identifying information regarding the bearer, such as name, date of birth,

gender, height, eye color, and address to enable the identification of the bearer.

____ Tribal identification card of a federally recognized Native American tribe, provided that it contains

a photograph of the bearer or lists sufficient identifying information regarding the bearer, such as

name, date of birth, gender, height, eye color, and address to enable the identification of the bearer.

____ United States Permanent Resident Card or Alien Registration Receipt Card (I-551)

____ Employment Authorization Document that contains a photograph of the bearer ((I-766)

____ Passport issued by a foreign government

____ Merchant Mariner Document or Merchant Mariner Credential issued by the United States Coast

Guard

____ Free and Secure Trade (FAST) card

____ NEXUS card

____ Secure Electronic Network for Travelers Rapid Inspection (SENTRI) card

____ Driver’s license issued by a Canadian government authority

____ Certificate of Citizenship issued by the United States Department of Citizenship and Immigration

Services (USCIS) (Form N-560 or Form N-561)

____ Certificate of Naturalization issued by the United States Department of Citizenship and

Immigration Services (USCIS) (Form N-550 or Form N-570)

____ Other document or form of identification for proof or documentation of identity, that document or

other form of identification will be deemed a secure and verifiable document solely for that

particular public benefit.

E-Verify Affidavit

Private Employer Compliance Pursuant to O.C.G.A. § 36-60-6(d)

This form is required by the State of Georgia. Please have it notarized and return it with your

completed renewal application.

I hereby declare under penalty of perjury that the foregoing is true and correct.

Executed on______________,__________,20_______in_______________,(city)_________(state)

Signature of Authorized Officer or Agent ______________________________________________

Printed name and Title of Authorized Officer or Agent____________________________________

Subscribed and sworn to me this ___________ DAY OF_____________, 20___

______________________________________________

NOTARY PUBLIC

MY COMMISSION EXPIRES ___________________________ (SEAL)

Number of Employees______

 More than ten (10) employees, check this box.

By executing this affidavit, the undersigned private employer verifies it’s compliance with O.C.G.A. §36-60-6, stating affirmatively that the

individual, firm or corporation employs more than ten (10) and has registered with and utilizes the federal work authorization program

commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines

established in O.C.G.A. §13-10-90. Furthermore, the undersigned private employer hereby attests that its federal work authorization user

identification number and date of authorization are as follows:

Federal Work Authorization Number__________ Date of Authorization____________________

************************************************************************************************************

 Exempt-Less than ten (10) employees, check this box.

Exempt from O.C.G.A. §36-60-6 -By executing this affidavit, the undersigned private employer verifies that

it is exempt from compliance with O.C.G.A. § 36-60-6, stating affirmatively that the individual, firm or corporation

employs fewer than eleven (11)and therefore, is not required to register with and/or utilize the federal work

authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with

the applicable provisions and deadlines established in O.C.G.A. § 13-10-90.

Department of Planning & Development

City of Snellville

2342 Oak Road, 2

Floor (770) 985-3513

Snellville, Georgia 30078 (770) 985-3514

www.snellville.org

FAX (770) 985-3551

__________________________________________________________________________________________________________________

GEORGIA SALES & USE TAX AFFIDAVIT

IN ACCORDANCE WITH O.C.G.A § 48-13-20.1, CITIES AND COUNTIES MAY COLLECT AND

SUBMIT CERTAIN INFORMATION TO ENABLE THE GEORGIA DEPARTMENT OF REVENUE

(877-423-6711) TO ENSURE THAT BUSINESSES ARE PROPERLY COMPLIANT WITH STATE

AND LOCAL SALES TAX LAWS.

THE CITY OF SNELLVILLE, GEORGIA LEVIES AN OCCUPATION TAX OR REGULATORY FEE

UNDER O.C.G.A § 48-13-1 ET SEQ., AND PASSED RESOLUTION 2011-04 ON FEB 28, 2011 TO

PARTNER WITH THE GEORGIA DEPARTMENT OF REVENUE IN AN EFFORT TO ENSURE

PROPER PAYMENT OF SALES AND USE TAX.

ANY PERSON WHO PERFORMS ANY BUSINESS, OCCUPATION OR PROFESSION SUBJECT

TO AN OCCUPATION TAX OR REGULATORY FEE UNDER O.C.G.A. § 48-13-1 ET SEQ., IS

REQUIRED TO PROVIDE THE CITY OF SNELLVILLE THE FOLLOWING INFORMATION

WHEN PAYING SUCH OCCUPATION TAX OR REGULATORY FEE:

BUSINESS INFORMATION

Legal Name of the Business:_______________________________________________________________________

Does Business have a Trade Name or D/B/A:  No  Yes (Name): _______________________________________

Business Mailing Address: ________________________________________________________________________

Street Address or PO Box City State Zip

Business Physical Address: ________________________________________________________________________

Street Address Suite

Sales and Use Tax ID Number Assigned by the Georgia Department of Revenue: ___________________________

(Do not provide Federal Taxpayer ID Number (FEIN)

 Check here if Georgia law does not require a Sales and Use Tax identification number for the business.

North American Industry Classification Code (NAICS): _________________________ (leave blank if not known)

ACKNOWLEDGEMENT

I hereby understand and acknowledge that pursuant to O.C.G.A. § 48-13-20.1 the City of Snellville, Georgia may collect certain information

which will be provided to the Georgia Department of Revenue to ensure that businesses are properly compliant with State and local sales and

use tax laws and that if any person refuses or fails to provide the required information, the City of Snellville will notify the Georgia Department

of Revenue. For questions, please contact the Georgia Department of Revenue at 877-423-6711 or website www.etax.dor.ga.gov

Acknowledged By: _________________________________________________________ Date: ______________

Print Name: __________________________________________________ Title: ___________________________

Revised 06/28/07

The City of Snellville

Department of Planning & Development Phone: 770-985-3513

2342 Oak Road, 2

Floor Fax: 770-985-3551

Snellville, GA 30078

www.snellville.org

REGISTERED AGENT CONSENT FORM

______________________________________________

Business Name

______________________________________________

Location Address

I, ____________________________________________, do hereby consent to serve as the Registered Agent

for the licensee, owners, officers, and/or directors and to perform all obligations of such agency under the Code of

Ordinances of the City of Snellville. I understand the basic purpose is to have and continuously maintain in

Gwinnett County a Registered Agent upon which any process, notice, or demand required or permitted by law or

under said Ordinance to be served upon the licensee or owner may be served.

I understand that the Registered Agent must be a resident of Gwinnett County.

This ________ day of ______________________, 20 _____.

APPROVED:

_____________________________________

Sole Owner/Partner

Officer or Director Title

Signature of Agent

Type Name of Agent

Type Agent’s Home Address

Type City, County, and State

Notary Notary Seal

Expiration Date

COPY OF

SHORT-TERM RENTAL

ORDINANCE

ORDINANCE NO. 2019-15

TO BE KEPT BY LICENSEE