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                                                                                                                     License #: ____________

                             City of Peoria Business License Application
                                                              8401 W. Monroe St. 
                                                              Peoria, AZ 85345                                       Application Fee: $20 
                                                                    (623) 773-7160                                   License Fee:      $25 
                                                                                                                     Total                   $45
Check all that        New Business                            Former Owner (if applicable)              Previous City License #
apply:
                      New Owner of Existing Business    
                      Name Change Only                        Current City License #                    Date of Change
                      Location Change
Do you sell, store or handle any hazardous materials?               No     Yes,please contact the Fire Department at (623) 773-7275        .
Are there any improvements planned to the business property?        No     Yes, please contact Economic Development at (623) 773-7225 or 
                                                                           building.applications@peoriaaz.gov
*NOTE: A building permit would be required for any electrical, mechanical, plumbing, structural, or fire related additions or changes to a 
commercial address.
SECTION I.  BUSINESS INFORMATION - Please Print

Business Name (Individual, Company or "DBA", first name first)

Business Address.

City                                                          State        ZIP Code + 4                      Business Telephone #

Start Date in Peoria  E-mail address                                       AZ Dept of Revenue TPT#           FEIN
SECTION II.  MAILING ADDRESS & PHONE NUMBER

Enter Name if Different from Section I (above) or Enter 'In-Care-Of' Name

Mailing Address

City                                       State      ZIP Code + 4                                           Telephone #
SECTION III. BUSINESS TYPE: Check all that apply
Business Type:        Amusement                   Commercial Rental        Hotel/Motel            Manufacturer             Publishing
                      Retail Food                 Group Home               Use Tax                Wholesaler               Telecommunications
                      Retail Sales                Residential Rental       Internet Sales         Transporting
                      Construction Contracting    Realtor/Property Manager Restaurant/Bar         Job Printing
                      Registrar of Contractors #: Personal Property Rental Advertising            Other:
                                                  Professional Services:

Describe Nature of  
Business:

Check method you will use in submitting reports:      Cash Receipts      Accrual     # of Employees

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SECTION IV. BUSINESS PREMISES STATUS
Do you own your business location? Yes No If yes, Is this your residence? Yes No
If no, complete Landlord/Property Manager information
Landlord/Property Manager Name Address Rent Amount: Phone #

Do you rent a portion of the business premises to another entity? Yes No
Alarm Does the business have a security alarm? No Yes, Name of the Alarm Company:
Information:
Alarm Company Phone #:

Type of Alarm: Silent Audible Firearms on Premises No Yes, What Type:
Panic

SECTION V. BUSINESS OWNERSHIP & RECORDS LOCATION
Ownership Type: Individual LLC Corporation General Partnership LLP Other:
1) Name Title Social Security #
Owners, Partners, LLC
Members or Officers
(For Additional Names, Home Address Date of Birth Phone No.
Please Attach List)

City State ZIP Code Driver License # State Issued

2) Name Title Social Security #

Home Address Date of Birth Phone No.

City State ZIP Code Driver License # State License

Corporate or LLC Name Phone No.
Statutory Agent

Location Where Name Phone No.
Business Records
Are Kept
Address City, state,zip

I certify that the statements made in this application are true and complete to the best of my knowledge. I have read and complied with all statutes,
ordinances, and other requirements affecting public peace, health, and safety. I understand license and application fees are non-refundable and
incomplete forms will delay processing.
IF APPLICABLE, BE SURE ALL SALES TAX HAS BEEN PAID BY FORMER OWNER. BY LAW, YOU MAY BE LIABLE FOR ANY UNPAID TAX.
Print Name Signature Title Date

Revised 11/2014

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                                PEORIA FIRE DEPARTMENT  
                                8 3 5 1   W e s t   C i n n a b a r   A v e n u e  
                                                 P e o r i a ,   A r i z o n a   8 5 3 4 5  

Date:             December 24, 2012 

To:               Business License Applicants within Peoria’s City Limits 

From:             Peoria Fire Department – Fire Prevention 

Subject:          Required Operational Permits 

Effective January 1, 2013, part of the business license application process will be the verification 
of the need for an annual operational permit from the Fire Department. In order to not delay your 
application, please review the following list of either business types or processes that typically  
require a permit. If you are one of these types of businesses or perform one or more of the 
operations, you will need to contact the Peoria Fire Department – Fire Prevention Division to 
apply for the necessary permit. 

In order for the Fire Department to approve the business license application the business must 
have a current year Operational Permit or have started the application process. The Fire 
Department permit application can be found on our website (www.peoriaaz.gov/fire) along with 
guides for certain permit types. Certain homebased businesses cannot be approved if they 
involve dangerous or hazardous materials. Check the appropriate box on both pages and sign 
the last page to confirm you have reviewed the lists. 

The following are types of business operations that may require an annual operational permit. 
For specific questions contact Fire Prevention at (623) 773-7279. 

Amusement Building                                                     HPM Facility 
Indoor special amusement buildings or portions thereof.                Hazardous Production Material within a semiconductor plant 

Aviation Faclities                                                     Lumber Yard and Wood Working Plant 
Aircraft serving or repair and aircraft fuel servicing equipment       Storage or processing over 100,000 board feet 

Carnivals/Fairs                                                        Places of Assembly 
Outdoor carnivals or fairs with or without rides                       Restaurants, night clubs and bars 

Covered Mall Buildings                                                 Repair Garage and Fuel Dispensing 
Indoor or outdoor                                                      Vehicle repair facilities and fuel dispensing 

Dry Cleaning Plants                                                    Tents, Canopies & Memebrane Structures 
Includes buildings or portions of buildings where process is conducted Tent 200 sq. ft. and/or canopy/membrane structure 400 sq. ft. 

Exhibits and Trade Shows                                               Tire Rebuilding Plant 
Indoor exhibits and trade shows                                        Operation or maintaneance of a tire plant 

        This business license application                       does   involve one of the above business types. 

        This business license application                       does not involve one of the above business types. 

                                Serving with:  Strength  -  Honor  -  Compassion

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The following are types of operations that may require an annual operational permit. For specific 
questions contact Fire Prevention at (623) 773-7279. 
 
Aerosol Products                                                      LP Gas 
Manufactuer, store or handle 500 lbs of Level 2 or 3 aerosol product  Storage or use above 125 gallons 
                                                                       
Cellulose Nitrate Film                                                Magnesium 
Store, handle or use in a Group A occupancy                           Melt, cast, heat treat or grind more than 10 lbs. 
                                                                       
Combustible Dust Producing Operation                                  Miscellanious Combustible Storage 
Plant, storage or operation that produces dust at 420 microns or less Store more than 2,500 cu. ft. on property (inside or outside) 
                                                                       
Combustible Fibers                                                    Open Burning 
Storage or handling greater than 100 cu. ft.                          Bonfires for educational or religious. Burning for reconized silviculture 
                                                                       
Compressed Gases                                                      Open Flames and Torches 
Amount varies per Table 105.6.8, Contact the Fire Department          Use a torch to remote paint or to use in a hazardous area 
                                                                       
Cyrogenic Fluids                                                      Open Flames and Candles 
Amount varies per Table 105.6.10, Contact the Fire Department         Use open flames or candles in assembly areas in bars or restaurants 
                                                                       
Cutting and Welding                                                   Organic Coatings 
On site processess                                                    Manufacture more than 1 gallon per day 
                                                                       
Explosives                                                            Private Fire Hydrants 
Any amount including consumer fireworks                               To remove a fire hydrant from service 
                                                                       
Fire Hydrants and Valves                                              Pyrotechnic Special Effects Materials 
To use or operate except by water company employees                   Any amount 
                                                                       
Flammable and Combustible Liquids                                     Pyroxylin Plastics 
Class 1 greater than 10 gallons, Class II greater than 60 gallons     Store or handle more than 25 lbs. 
                                                                       
Floor Finishing                                                       Refrigeration Equipment 
Exceed 350 sq. ft. with Class I or II liquid                          More than 220 lbs of Group A1 or more than 30 lbs or any refrigerant 
                                                                       
Fruit and Crop Ripening                                               Rooftop Heliport 
When using ethylene gas                                               Any rooftop heliport 
                                                                       
Fumigation & Thermal Insecticidal Fogging                             Spraying or Dipping 
To operate a business or store toxic or flammable fumigant            Spray or dipping using flammable or combustible liquids or powders 
                                                                       
Hazardous Materials                                                   Storage of Scrap Tires and Tire Byproducts 
Amount varies per Table 105.6.20, Contact the Fire Department         Establish, conduct or maintain more than 2,500 cu. ft. of tires 
                                                                       
High Piled Storage                                                    Waste Handling 
Storage greater than 12 feet and exceeds 500 sq. ft. of area          Wrecking  yards, junk yards and waste material handling facilities 
                                                                       
Hot Work Operations                                                   Wood Products 
On site processes                                                     Store chip or hogged material greater than 200 cu. ft. 
                                                                       
Industrial Ovens                                                      Fire Protection Contractor 
Class A, B, C and D furnaces                                          Service or install any fire protection equipment 
                                                                       
Liquid or Gas Fueled Vehicles in Assembly                              
Display, operate or demonstrate inside an assembly occupancy 
 
  This business license application                              does involve one of the above operations. 
   
  This business license application                              does not involve one of the above operations. 
   
Signature: _______________________________________                                         Date: ____________________ 
 
                             Serving with:  Strength  -  Honor  -  Compassion

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License #: ___________

__________________________________Home Occupation Statement

Not Applicable
Please complete this from if you rbusiness is based out of your home. Answer the questions listed below
to provide staff with the information necessary to evaluate the conformance of your proposed business
to the Home Occupation requirements listed in the attached affidavit.

1. Business Name: ________________________________________________________________
2. Business Address:________________________________________________________________
Phone Number: ___________________Day ___________________Night
3. Fully describe the proposed home occupation:___________________________________________
_________________________________________________________________________________
4. Identify the hours of operation:________________________________________________________

5. List the general activities which will occur at the above listed address:________________________
_________________________________________________________________________________
6. List any items related to the proposed business which will be stored at the listed address including
equipment, vehicles and material(s):___________________________________________________
________________________________________________________________________________

7. Identify any machinery to be operated from the premise in conjunction with proposed business:
________________________________________________________________________________
________________________________________________________________________________

8. Will you receive customers, clients or commercial deliveries at the above listed address? If yes,

explain the number of deliveries and the number of clients per hour:_________________________
______________________________________________________________________________

9. Identify the number of employees (excluding household members) to be employed in your business:

________________________________________________________________________________
Will any employees report directly to the listed address? If yes, explain:______________________
________________________________________________________________________________
________________________________________________________________________________

10. Are there any existing or planned building alterations or building additions associated with the Home
Occupation? If yes, explain: ____________________________________________________________

____________________________________________________________________________________
I hereby certify that the above information is true and correct.

Signature Required ___________________________ Date:________________________

Please carefully read the following Home Occupation requirements before signing.
Rev. 11/02

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Home Occupation Requirements Affidavit

Section 14-3 Home Occupations Not Applicable

A home occupation is an accessory use of the primary dwelling unit permitted either by-right or by
conditional use permit. Home occupations are generally conducted and located such that the average
neighbor, under normal circumstances, would not be aware of their existence. The standards set forth in
this section of the City of Peoria Zoning Ordinance are intended to ensure compatibility of the home
occupation use with the residential character of the neighborhood. The proposed use shall be clearly
accessory or incidental to the residential use of the main building to qualify as a home occupation use under
this section.

(Please initial at each statement indicating that you have read and understand each of the
above requirements.)

A. A Home Occupation where permitted, except for Day Care Group Homes, shall be considered a
permitted accessory use when it complies with the following regulations.

1. No changes shall be made which alter the residential appearance of the building. This
shall include alterations or additions to the existing building(s) and construction of parking
areas or garages in excess of what is common to the surrounding area.

2. No signs shall be allowed advertising a Home Occupation.

3. Home Occupations shall not have exterior display, exterior storage of materials or
equipment or other exterior indication of the Home Occupation.

4. The Home Occupation shall not be discernable from beyond the premises, particularly
emissions of noise, light, dust, gas, vibration, odor or smoke.

5. The Home Occupation shall not involve more than one (1) business caller or visitor at a
time and not more than two visitors per hour, nor commercial deliveries or outside services
beyond those normal and incidental to the residential uses in the district.

6. The Home Occupation shall be conducted by a resident or residents of the dwelling unit
only. No outside employees shall be employed at the site, and not more than one employee
may report to the site for off-site employment.

7. No unusual load shall be placed on power, sewer, water or other utilities as a result of the
Home Occupation use.

8. External activity resulting from the Home Occupation shall be limited to the hours
between 7:00 a.m. and 10:00 p.m.

9. No more than two (2) commercial vehicles may be parked on the Home Occupation site
for personal use, except as provided by the City Code and no storage of commercial vehicles
shall be allowed.

10. All Home Occupations shall be subject to the standards contained herein and shall be
approved by the City prior to the initiation of any business activity.

11. A valid sales tax and/or business license shall be obtained for the Home Occupation use.

I hereby certify that I have read and understood the above regulations concerning Home
Occupations. I agree to comply with them. Further, it is my understanding that failure to comply
with the above regulations or complaints received from local residents may cause my license to
be revoked.

Signature of Applicant Date

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License #: ___________

Legal Arizona Workers Act Compliance Guidelines
House Bill 2745
Not Applicable
Chapter 152

City of Peoria Licensing Eligibility: Required onlyfor sole proprietorships/individually owned businesses

Effective October 1, 2008, before issuing a license to an individual, the individual must present one of
the following documents to the City of Peoria indicating that the individual's presence in the United
States is authorized under federal law:

Check the box next to the document indicating lawful presence and provide a copy of the
document with your business license application.

An Arizona driver license issued after 1996 or an Arizona non-operating

identification license.
A driver license issued by a state that verifies lawful presence in the United

States. (See Overview of States’ Driver’s License Requirements)
A birth certificate or delayed birth certificate issued in any state, territory or

possession of the United States.
A United States certificate of birth abroad.
A United States passport.
A foreign passport with a United States visa.
An I-94 form with a photograph.
A United States citizenship and immigration services employment authorization

document or refugee travel document.
A United States certificate of naturalization.
A United States certificate of citizenship.
A tribal certificate of Indian blood.
A tribal or bureau of Indian affairs affidavit of birth.

This provision does not apply to an individual, if either:

1. BOTH of the following apply:
a. The individual is a citizen of a foreign country or, if at the time of application, the individual
resides in a foreign country.
b. The benefits that are related to the license do not require the individual to be present in the
United States in order to receive those benefits.
OR
2. ALL of the following apply:
a. The individual is a resident of another state.
b. The individual holds an equivalent license in that other state and the equivalent license is of the
same type being sought in this state.
c. The individual seeks the Arizona license to comply with this state’s licensing laws and not to
establish residency in this state.

______________________________ ________________________
Signature of applicant Date

________________________________ __________________________
Signature of City of Peoria employee Date

Updated 9/4/2012

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                                                        License #: ___________ 
 
Overview of States’ Driver’s License Requirements 
 
States that require a Social Security    
number (SSN) for a driver's license     SD. 
with no exceptions (1).                  
 
States that require an SSN for a        AL, AK, AZ, AR, CA, CO, CT, DE, DC, 
driver's                                FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, 
license, but have exceptions to that    MD, ME, MA, MN, MI, MS, MO, MT, NE, 
rule                                    NV, NH, NJ, NM, NY, NC, ND, OH, OK, 
(50).                                   OR, PA, RI, SC, TN, TX, UT, VA, VT, 
                                        WA, WV, WI, and WY. 
States that have lawful presence        AL, AZ, AR, CA, CO, CT, FL, GA, ID, IN, 
requirements in the law (29).           KS, KY, LA (grants temporary licenses to 
                                        those in the agricultural industry, 
                                        regardless of immigration status), MN, 
                                        MS, MO, MT, NH, NJ, OH, OK, PA, SC, 
                                        SD, TN, VA, VT, WI, and WY.
States that have lawful presence         
requirements that are created by        AK, DE, DC, IL, IA, MA, NE, NV, NY, NC, 
agency policy or the combination of     ND, OR, RI, TX, and WV. 
documents required of driver’s license   
applicants (15). 
 
States that don't have lawful presence  HI, ME, MD, MI, NM, UT, and WA. 
requirements (7). 
 
States that accept the ITIN as an       IL (in the case of religious objections) KY, 
alternative to the SSN (5).             NM, UT, and WV 
 
States that accept the matrícula        IN, MI (accepted on case-by-case basis), 
consular or other foreign ID card as a  NE, NM, TX, UT, and WA. 
form of ID (7).                          
 
States that require that the driver’s   AL, AZ, CA, CO, DC, GA, FL, IA, IN, KY, 
license expire with an immigrant’s      LA, MN, MO, MT, NJ, NV, NY, NC, ND, 
visa (31).                              OH, OK, 
                                        PA, SC, SD, TN, UT, VT, VA, WV, WI, 
                                        and 
                                        WY. 
                                         
                                                                Updated 9/4/2012

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