HomeMy Public PortalAboutAmick's Deep Sea Fishing1,11
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CITY OF TYBEE ISLAND TE 1r" 00
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CONTRACTOR REGISTRATION t'
APPLICATION
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20,00
20 OCICR
1 DEC •(8
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Federal ID 9922 9d e,
i NAICS Code
Business Type (circle one): oie Proprie
Partnership Corporation LLC
Other:
Type of Contractor
❑ General ❑ Electrical ❑ Mechanical ❑ Plumbing
Other C' i1 '
Has this business or anyone connected with this business been cited or charged with any violation of Georgia Law,
Federal Law, Local Ordinance, or any Rule or Regulation of the State Revenue Commissioner or any Rule or Regulation of
the City or County within the past 12 months? (circle one) YES or NO (If YES, list details)
1. Include a copy of your local business license.
2. Any business that requires state licensing must include a copy of state license.
List person(s) authorized to request inspections: �•r� f4...v4
i
I hereby make application to the City of Tybee Island for a Contractor Registration. I certify that the above statements are true
and correct. I understand that the processing fee of $20.00 is non-refundable. I further understand that the provision of false
information on this application m esu i'n the revocation of this r istration by the City of Tybee Island.
Applicant Signature
Printed Name,
Received by Date
Date
ROUTING
APPROVAL
BY
DATE
FEE
Administrator
REQUIRED
Contractor Registration 20.00
Zoning Approval
REQUIRED
Reason for denial:
City of Tybee Island
403 Butler Avenue
Attention: Contractor Registration, P.O. Box 2749,
Tybee Island, Georgia 31328-2749
Telephone (912) 786-4573 FAX (912) 786-9539
www.citvoftybee.oro
City of Tybee use only:
Date
New
Renewal
License #
t6 99- Ss
Business Name:
Business Location:
Owner:
License Number:
Issued Date:
Expiration Date:
Chatham County Occupational Tax
P.O. Box 8161 Savannah, GA 31412
Ph: 912-201-4302 Fax 912-201-4301
AMICK'S DEEP SEA FISHING (CAP'T LIC REQ'D)
DBA: AMICK'S DEEP SEA FISHING (CAP'T LIC
REQ'D)
6902 SANDNETTLES DR
SAVANNAH, GA 31410
SCOTT AMICK
21910
2/17/2021
12/31/2021
Dominant Business Activity: CHARTER FISHING
•
BUSINESS LICENSE CERTIFICATE
Business Type(s): 487210 Scenic and Sightseeing
Transportation, Water
Mailing Address: 6902 SANDNETTLES DR
SAVANNAH, GA 31410
License Type:
Classification:
Fees Paid:
TO BE POSTED IN A CONSPICUOUS PLACE
Occupational Tax
In Jurisdiction
$112.00