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P. O. Box 1350 Pigeon Forge, TN 37863 ● Phone: (865) 429-7312 ● Fax: (865) 429-7322
e-mail: dtaylor@cityofpigeonforgetn.gov
CITY OF PIGEON FORGE APPLICATION FOR SHORT-TERM
RENTAL UNIT PERMIT
HOW TO APPLY FOR A SHORT - TERM RENTAL UNIT PERMIT
1. Obtain permit application. Start by reviewing the materials in this packet or by printing
all relevant forms here. You may also call (865) 429-7312 or visit the Community
Development Office at 3211 Rena Street, Pigeon Forge, TN 37863.
2. Complete the application packet. The application has several key components. A
complete checklist can be found on Page 2. Short Term Rental Unit Permit
Application Permit fee of $300.00 payable to City of Pigeon Forge- the City accepts
credit card, check
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or cash A copy of your City and County Business License
Completed Life Safety Compliance Verification Form
3. Make copies of all forms for your records.
4. Submit all forms together as a complete packet. Incomplete packets will be returned
to the applicant via mail. Mail or deliver your completed application packet to:
Community Development Office, Attn: Short Term Rental Unit Permit Application
Processor, 3211 Rena Street, Pigeon Forge, TN 37863.
5. A copy of the Short-Term Rental Unit Permit will be mailed to you and is valid for one
year, unless revoked.
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Please note that if paying by check, the City will not issue a permit for at least ten (10) days to allow sufficient
time for your check to clear.
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P. O. Box 1350 Pigeon Forge, TN 37863 ● Phone: (865) 429-7312 ● Fax: (865) 429-7322
e-mail: dtaylor@cityofpigeonforgetn.gov
SHORT TERM RENTAL UNIT PERMIT OPERATOR APPLICATION
(You must keep the information provided herein up-to-date at all times, even after
a Permit is issued. Failure to do so may result in suspension or revocation of
your Permit.)
This is an Application for: Owner Occupied Non-Owner Occupied Unoccupied
1. Location of proposed Short-term Rental Unit (“STRU”):
Address ____________________________________________________________
Zip Code ________________ Zoning District
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___________________________
2. What is Applicant’s relationship to the STRU? Check all that apply. Owner
Resident Lessee Other—Please Describe ______________________________
3. What type of dwelling is the STRU? Single Family Home Duplex or
Townhouse Garage Apartment Condominium Apartment in Apartment
Building Carriage House Other—Please Describe ____________________
4. Number of floors in the STRU, including basements even if unfinished __________
5. Name of Applicant ___________________________________________________
Address _________________________________________ Zip Code_____________
Email address _____________________________ Phone ( )__________________
NOTE: If the Applicant is a business entity, provide below the name, address, email
address, and phone number of the entity’s contact person. Also, attach proof that the
entity is in good standing with the Tennessee Secretary of State
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.
Name _______________________________________________________________
Address _________________________________________ Zip Code_____________
Email address _____________________________ Phone ( )__________________
5. If Applicant is not the Owner of the property, provide below the name, address, email
address, and phone number of the Owner of property.
Name of Owner ________________________________________________________
Address _________________________________________ Zip Code_____________
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You can find the zoning district for the STRU by visiting cityofpigeonforge.com and clicking the Community
Development tab, then the Planning Information tab, and finally the zoning map tab.
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A printer-friendly version of the information to be provided can be accessed online at
https://tnbear.tn.gov/Ecommerce/FilingSearch.aspx
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P. O. Box 1350 Pigeon Forge, TN 37863 ● Phone: (865) 429-7312 ● Fax: (865) 429-7322
e-mail: dtaylor@cityofpigeonforgetn.gov
Email address _____________________________ Phone (
)__________________
6. Please designate a local contact person for the STRU who will be available twenty-
four hours a day to address any issues arising with the STRU, and provide below the
name, address, email address, and all telephone numbers. If Applicant is the local
contact, please simply note “Applicant” for name, but provide additional telephone
numbers where you may be contacted.
Name of Local Contact___________________________________________________
Address _________________________________________ Zip Code_____________
Email address _____________________________ Phone ( )__________________
Alternate Phone ( )__________________ Alternate Phone ( )________________
7. Name(s) of hosting platform(s) and internet website(s) where STRU will be
advertised: ____________________________________________________________
8. ATTACHMENTS Proof of ownership of the STRU
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For Owner Occupied
Permits, two (2) documents demonstrating proof of Owner’s residency
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Site plan
(using the forms provided in this packet) Life Safety Compliance Form (provided in
this packet) A City and County Business Licensee; If applicable for a Type 2 or
Type 3 Permit, proof of the entity’s good standing.
By signing below:
I ACKNOWLEDGE THAT I HAVE READ AND WILL FOLLOW AND COMPLY WITH
ALL SHORT-TERM RENTAL UNIT REGULATIONS AND ORDINANCES, THE CITY
OF PIGEON FORGE’S (“CITY”) BUSINESS LICENSE REQUIREMENTS, WILL PAY
ALL APPLICABLE CITY HOTEL OCCUPANCY PRIVILEGE TAX AND LOCAL OPTION
SALES TAX, AND THE STATES GROSS RECEIPTS TAX, AND ABIDE BY ANY
ADDITIONAL ADMINISTRATIVE REGULATIONS IMPOSED NOW OR LATER. IF I AM
AN OWNER, BUT NOT THE OPERATOR, I ACKNOWLEDGE THAT I CAN BE HELD
LEGALLY RESPONSIBLE AND LIABLE FOR COMPLIANCE WITH CITY’S
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Must be a copy of the recorded deed for the STRU.
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Per the Ordinance, documents which establish residency include: owner’s motor vehicle registration; a valid
driver’s license or TN identification card for owner; the address used for the school registration of owner’s children;
the owner’s voter registration card; or owner’s W-2 form reflecting the property address.
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P. O. Box 1350 Pigeon Forge, TN 37863 ● Phone: (865) 429-7312 ● Fax: (865) 429-7322
e-mail: dtaylor@cityofpigeonforgetn.gov
ORDINANCES AT THE SHORT-TERM RENTAL UNIT JUST AS IF I WERE THE
OWNER. I SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS THE CITY
AND
ITS ELECTED OFFICIALS, OFFICERS, REPRESENTATIVES, AND EMPLOYEES
FOR ANY AND ALL MATTERS RELATED TO THIS AND THE OPERATION OF THE
SHORT-TERM RENTAL UNIT. THE INDEMNIFICATION AND HOLD HARMLESS
PROVISIONS STATED HERE SHALL SURVIVE REVOCATION OR EXPIRATION OF
THE PERMIT.
I ACKNOWLEDGE THAT THIS APPLICATION IS A “GOVERNMENTAL RECORD”
AND IF I MAKE A FALSE ENTRY OR REPRESENTATION IN THIS APPLICATION,
THEN I COMMIT A VIOLATION OF T.C.A. § 39-16-504. I HAVE CAREFULLY
CONSIDERED THE CONTENT OF THIS APPLICATION BEFORE SIGNING. I AFFIRM
THAT THE CONTENT IS TRUE, TO THE BEST OF MY KNOWLEDGE,
INFORMATION AND BELIEF.
APPLICANT: ____________________________________
Signature
PRINT NAME: ____________________________________
DATE: ____________________________________
OWNER: ____________________________________
(IF NOT APPLICANT) Signature
PRINT NAME: ____________________________________
DATE: ____________________________________
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P. O. Box 1350 Pigeon Forge, TN 37863 ● Phone: (865) 429-7312 ● Fax: (865) 429-7322
e-mail: dtaylor@cityofpigeonforgetn.gov
OFFICE USE ONLY
Date of receipt of Application: ________________________
Reviewed by Community Development Director or Designee on ________________.
Application Fee received and if by check, check has cleared? ___Yes ___No
Taxes paid in six of the twelve months preceding August 13, 2018? ___Yes ___No
Applicant holds valid Business License? ___Yes ___No
This Unit is located in Zone ______.
An inspection for building code compliance was performed on ___________, by
_________________________________.
Fire Department safety inspection performed on ______________, by
_________________________________.
All required Application documentation has been submitted? ___Yes ___No
Permit Number, if Application approved: ___________________
Issue Date: ________________________
If Permit was not issued, please list reasons, and what efforts were made to allow
Applicant to address deficiencies, if applicable: _______________________________
_____________________________________________________________________
_____________________________________________________________________
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P. O. Box 1350 Pigeon Forge, TN 37863 ● Phone: (865) 429-7312 ● Fax: (865) 429-7322
e-mail: dtaylor@cityofpigeonforgetn.gov
LIFE SAFETY COMPLIANCE VERIFICATION FORM- The Applicant and Owner, if not
Applicant, certify compliance by signing below as follows:
Verification of number and locations are required for the entire property, even those
areas or rooms that are not available for occupancy as part of the Short-Term Rental
Unit. Every smoke and carbon monoxide alarm must function properly with the alarm
sounding after pushing the test button. Smoke alarms must meet Underwriters
Laboratory (UL) 217 standards and must be installed inside sleeping rooms, outside
sleeping rooms and within 15 feet of the door of all bedrooms, and on each story,
including basements. Carbon monoxide alarms must be within 15 feet of the door of all
bedrooms. There must be at least one (1) operable fire extinguisher in the Short-Term
Rental Unit.
Number and location(s) of smoke alarms:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Number and location(s) of carbon monoxide alarms:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Number and location(s) of fire extinguishers:
______________________________________________________________________
______________________________________________________________________
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P. O. Box 1350 Pigeon Forge, TN 37863 ● Phone: (865) 429-7312 ● Fax: (865) 429-7322
e-mail: dtaylor@cityofpigeonforgetn.gov
BY SIGNING BELOW, I AFFIRM THAT THE CONTENTS OF THIS FORM ARE TRUE
AND THAT THE EQUIPMENT NOTED ABOVE IS FULLY OPERATIONAL. I ALSO
AGREE TO MAINTAIN THIS EQUIPMENT IN FULLY OPERATIONAL CONDITION AT
ALL TIMES AND REPLACE IT SHOULD IT STOP FUNCTIONING PROPERLY. I
ACKNOWLEDGE THAT THE CITY RESERVES THE RIGHT TO VERIFY THE
PLACEMENT AND OPERATION OF THE EQUIPMENT BY INSPECTION.
APPLICANT: ____________________________________
Signature
PRINT NAME: ____________________________________
DATE: ____________________________________
OWNER: ____________________________________
(IF NOT APPLICANT) Signature
PRINT NAME: ____________________________________
DATE: ____________________________________
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P. O. Box 1350 Pigeon Forge, TN 37863 ● Phone: (865) 429-7312 ● Fax: (865) 429-7322
e-mail: dtaylor@cityofpigeonforgetn.gov
SITE PLAN INFORMATION:
STRU ADDRESS: ________________________________________________
SQUARE FOOTAGE: ________________________________________________
NO. OF BEDROOMS: ________________________________________________
NO. OF BEDROOMS LISTED ON HOSTING PLATFORM: ______________________
NO. OF FLOORS WITH HABITABLE SPACE: ________________________________
NO. OF DOORS EXITING TO EXTERIOR: __________________________________
NO. OF VEHICLES ACCOMMODATED BY DRIVEWAY: _______________________
