Type Full Name :
Sign With Hand
Last Name *
Email *
Block
Fee
Documents Needed:
• Current Certificate of Liability Insurance (Minimum of $100,000 - $300,000)
• Copy of Driver's License
• Copy of Current Suffolk County License (Offie of Consumer Affairs)
Property Details
New or Renewal *
Applicant Type *
Mailing Address *
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Address 2
Summer Cart / Contractor's 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 permit you're applying for. *
Permit Year
Village of
Ocean Beach
Phone # 2
Fee Schedule
Reference No
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
Applicant Signature *
Name *
Address Search *