Business Type * New Business Existing Business(Renewal) Is this a change of ownership? * Yes No Is this a transient or itinerant business? * Yes, please attach authorized permits and forms No Transient or Itinerant Business permits and forms Files must be less than 5 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Business Name * Business owners name * Business physical address * Business mailing address * Transient business location address Phone Number * Email * How would you like to receive the business permit? * Email In person Account number If you need an account number please fill out the online permitting application and we will set up your account. Number of employees * Federal Tax ID * State of Arkansas Tax ID * Description of business * Check all that apply: Serve Alcoholic Beverages Child Care Service Food Service Store flammable, explosive, or hazardous material If storing flammable, explosive, and hazardous materials please list: Permit fee * 1-5 employees $25.00 6-15 employees $50.00 16-30 employees $75.00 31-99 employees $100.00 100 or more employees $150.00 Private Club I have read and understand this passage. It shall be unlawful for any person to engage in the business of distributing or selling or dispensing within any private club for on-premises consumption, any controlled beverage, within the city without a permit issued by the city, or with an expired permit. It shall be unlawful to operate a private club or sell alcoholic beverages for on-premises consumption in Pottsville before being permitted by the appropriate state agency. The application for a private club permit shall be submitted to the city of Pottsville with a one time, non-refundable application fee in the amount of $250.00. This fee is completely separate from any licensing fees which may later be due to the city of Pottsville to operate a business in the city of Pottsville. Permits required by this section shall run for one calendar year. Annual permit renewal fees of $50.00 shall be due and payable on December 1st of each year for the succeeding year beginning January 1st. Applications are due on or before January 31st. Signature * I, the undersigned, understand the business permit is for registration purposes only and does not waive compliance for any federal, state, county, or city laws and ordinances. It is the sole responsibility of the applicant in writing to supply this office with any and all changes in information pertaining to their application. A false statement or misrepresentation may make the license null and void and constitute forfeiture of paid fee. If running more than one business out of the same structure, I understand I am required to fill out a separate application for each business. I understand that business failing to comply with the city ordinance 2023-13 are subject to citation. It is the sole responsibility for the business owner to renew the permit when it expires. How are you paying? * Pay in person Pay by mail- 173 E Ash Street Pottsville, AR 72858 Pay online- must have an account number to pay online-if you need an account number please fill out the online permitting application and we will set up your account. Payment information * Please contact 479-567-0874 after submitting a permit. Once you submit a permit you will be redirected to pay online. If you chose the option to pay by mail or in person please disregard the webpage for paying online. Leave this field blank
