9045 Jog Road, Boynton Beach, FL 33472 S 561 - pbcgov-2026

1. Click ‘Get Form’ to open the Non-Residential Application for Service in the editor.
2. Begin by entering the service address in the designated fields. Ensure you include the street, city, and zip code accurately.
3. Fill in the name of your business and select the type of business from the options provided.
4. Provide your name as the business owner along with your mailing address, including street, city/state, and zip code.
5. Enter your daytime and evening phone numbers, followed by the contact person's name and email address.
6. Complete the federal tax ID and state tax ID fields. Indicate whether you own or lease your business location.
7. For property owner information, fill in their name, address, phone number, and email. Include when you purchased this property.
8. If applicable, provide tenant information such as lease start date and term of lease length.
9. Finally, review all entered information for accuracy before signing and dating at the bottom of the form.

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