Type Full Name :
Sign With Hand
Last Name
Phone #
Name
Address
  Category Fees Applicable
  All Categories
  • Mercantile Fee
    • $100.00
  Food - Restaurants
  • Seating Fee (based on # of seats)
    • 0-50 seats = $150.00
    • 51-100 seats = $250.00
    • 101+ seats = $400.00
  Food - Other
  • Food Other Fee (based on square footage)
    • 0-3999 sq ft = $150.00
    • 4000-10000 sq ft = $400.00
    • 10,000+ sq ft = $700.00
  Mobile Food Trucks
  • Mobile Food Truck Fee, $150.00
  Additional Fees
  • Vending Machine Fee, $50.00 per machine

 

Application Type
License Plate #
Email
Block
Please note that if your operation has been designated as a Risk Type 3 Food Establishment, you must provide documentation demonstrating that at least one person in charge has passed a food safety certification examination administered by an accredited certifying program recognized by the Conference for Food Protection.

The owner of a business shall maintain liability insurance for negligent acts and omissions in an amount of no less than $500,000 for combined property damage and bodily injury to or death of one or more persons in any one accident or occurrence. Please upload your Certificate of Insurance here. You can also Click Here to view the full legislation.

Statements of Compliance

  • Has Business had license revoked or suspended in the past 5 years
  • Is Business violating any Zoning ordinances in connection with its operation
  • Is Business in default of any requirements of Chapter 4 of the Brielle Municipal Code
# of Vending Machines
Does the business have an alarm system?
Vending Machine(s)?
Address
Address 2
Mailing City, State, ZIP
Food Market Type (If applicable)
Address
Seating Capacity
Business Details
Phone #
List any additional owners, if any.
Business Name
Name
Business Category (If Other)
PLEASE NOTE: The following is a partial list of fees. The total amount due will be determined upon review of the application. Once complete, you will receive an email with payment details. Do not send payment until the application is reviewed.
Food Other Fee
Lot
Risk Category (required for all Food)
Emergency Contact Details
Building Owner Details
Is Business based within Brielle?
Mobile Food Fee
Seating Fee
Model
State
Federal ID #
Phone #
Fee Schedule
Last Name
Phone #
Business Category
First Name
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Business Information
For Food Trucks Only
Make
Phone #
Address
Certification
Attachments
Applicant Signature
Business Owner Details
If Yes, please upload a proof of insurance in the attachment section below.
Description
First Name
City
{[CNAME]}
Alarm Company Details
Vending Fee
Total Fees
Square Feet
Mercantile Fee
Email
ZIP
{[PNAME]}
Business Address