Yes No

Yes No

Yes No

Yes No

Yes No

New Received Pending Payment Requested Approved Denied

Vehicle Cart / Heavy Equipment / Trailer Medical / Disability Marina Slip Rental Summer Cart / Contractors Multiple

New Renewal

Resident Non-Resident Contractor

I will personally pick up my permits Please mail my permits to the mailing address listed on this application

Registration # *

Email *

Block

Fee

Documents Needed:
• Registration
• Driver's License
• Certificate of Insurance (not less than $100,000 per person with the village as a Certificate Holder)
• Golf Carts and Trailers MUST be listed on Certificates of Insurance.

Property Details

New or Renewal *

Applicant Type *

Mailing Address *

Address 2

VIN *

Cart, Heavy Equipment & Trailer Permit Application

Lot

NON-RESIDENT APPLICANTS: please begin typing NON-RESIDENT and select 'NON-RESIDENT ADDRESS' in order to populate necessary fields (you can type over fields as necessary).

Permit Details

Phone # *

Enter the details of each Cart, Heavy Equipment or Trailer Permit you are applying for. *

Permit Year

Village of
Ocean Beach

Phone # 2

Fee

Pick up or delivery? *

Hold Harmless Applicant shall indemnify and hold harmless the Village of Ocean Beach (VOB) and its Trustees, officers, employees, contractors and agents against any and all claims and demands for any injury to persons or property arising from the use of the subject premises.   This indemnification and hold harmless clause shall survive the expiration or termination of the terms of this Permit with respect to acts or events occurring or alleged to have occurred during the term of this permit.   I understand that permits granted under this application will be in accordance with current code regulations and that false statements made may subject permit to revocation or suspension.

Checks made payable to: Inc. Village of Ocean Beach.   All fees are NON-refundable and subject to late fees.

Mailing City, State, ZIP *

Address

Applicant Details

Certification

Attachments

Last Name*

Applicant Signature *

First Name *

Address Search *