Last Updated 03.31.2022 STVR REGISTRATION FORM, Page 1
The submittal of an incomplete application will delay official acceptance by the Department. Furthermore, additional information may be requested by the Department
during the course of the review process and be deemed valid. Lack of required information will render the application incomplete, and it will not be processed.
www.planning.hawaiicounty.gov Hawai`i County is an Equal Opportunity Provider and Employer planning@hawaiicounty.gov (Rev. 11.30.2021)
East Hawai‘i Office · 101 Pauahi Street, Suite 3 · Hilo, Hawai‘i 96720
Phone (808) 961-8288 · Fax (808) 961-8742
County of Hawai‘i Planning Department
West Hawai‘i Office · 74-5044 Ane Keohokalole Hwy · Kailua-Kona, Hawai‘i 96740
Phone (808) 323-4770 · Fax (808) 327-3563
Web: www.planning.hawaiicounty.gov · Email: planning@hawaiicounty.gov
FOR OFFICE USE ONLY
Receipt Number:
Reviewed By:
STVR #:
NUC # (If Applicable)
SHORT-TERM VACATION RENTAL (STVR) REGISTRATION
STVR
STREET ADDRESS: ________________________________________________________________________
CITY: __________________________________________/HI ZIP CODE: ___________________
FOR OFFICE USE ONLY:
TAX MAP KEY: (3)________________________________ ZONING: ______________________________________
SLU: _________________ If Ag, Date of Subdivision: _____________________ LUPAG: _____________________
AP
PLICANT (Please Print): _________________________________________________________________________
☐
T
o the best of my knowledge, the proposed STVR property is not used as a primary residence.
SIGNATURE: _____________________________________________________________ DATE: ________________
SIGNER (Please Print): ______________________________________________________________________________
MAILING ADDRESS: ______________________________________________________________________________
CITY: ___________________________________ STATE: _________________ ZIP CODE: ___________________
PHONE NO.: (____)________________________ EMAIL (Required) : ______________________________________
P
lease provide the contact information of at least one registered owner of the STVR property:
OWNER (Please Print): ________________________
___________________________________________________
MAILING ADDRESS: ______________________________________________________________________________
CITY: ___________________________________ STATE: _________________ ZIP CODE: ___________________
PHONE NO.: (____)________________________ EMAIL (Required) : ______________________________________
REACHABLE PERSON (Please Print): ________________________________________________________________
☐
T
o the best of my knowledge, the proposed STVR property is not used as a primary residence.
SIGNATURE: _____________________________________________________________ DATE: ________________
PHONE NO.: Day (____)_________________________ Evening/Night (____)_______________________
__
EMAIL (Required): ______________________________________________________
Instructions:
• A
pplication submittals and fee payments must be made through the Planning Department’s EPIC online submittal
sy
stem. The Department no longer accepts hardcopy applications or paper check/cash fee payments.
• Collect the Required Documents listed below. Scan and save each of document individually in PDF format.
C
ontinued on next page
STVR Registration Form, continued
STVR REGISTRATION FORM, Page 2
www.planning.hawaiicounty.gov Hawai`i County is an Equal Opportunity Provider and Employer planning@hawaiicounty.gov
Instructions, cont.:
• W
hen you are ready to apply, please visit the EPIC system’s welcome page to start the submittal process:
https://hawaiicountyhi-energovpub.tylerhost.net/Apps/SelfService#/home
• Pursuant to Planning Department Rules of Practice and Procedure Rule 23, the Director may request additional
information to facilitate processing your application request.
R
equired Documents:
1. C
ompleted STVR Registration Form
.
2. Owner Authorization, if applicable.
• A
uthorized Agent: If an Authorized Agent is applying for this Renewal on behalf of the registered owner(s),
pl
ease include a letter, signed by all registered owners, that grants the Agent the authority to sign and submit
this registration request. We accept electronic signatures.
• No
n-person/Entity Owner: If the registered Owner is a non-person entity (i.e., trust, LLC, etc.), please include
a copy of the document that names the person(s) authorized to sign and submit this registration request.
3. $500
Non-refundable processing fee, payable by credit card or e-check
.
4. F
inal Approvals from Building Division. Please provide documentation establishing that all permits from the
County of Hawai‘i Department of Public Works-Building Division for all necessary building, electrical, and
plumbing permits were granted final approval. If this documentation is not available, the Department will also
accept:
• Certificate of Occupancy;
• Federal Housing Administrations or Veterans Affairs loans;
• C
ondominium Property Regime Declaration recorded with the Bureau of Conveyance; or
• N
otes from the inspector on the day of final inspection. (Would have been given to the owner or contracto
r
at time of inspection. Rare, but sometimes available)
5. S
tate of Hawaiʻi General Excise (GE) and Transient Accommodations Tax (TAT) licenses. Please submit
copies of your State of Hawaiʻi GE and TAT licenses, or correspondence from the State of Hawaiʻi Department of
Taxation that lists your GE and TAT license numbers.
6. Si
te Plan. Drawn-to-scale, identifying:
a) All property boundaries, dimensions, setbacks, and easements;
b) Location of existing and proposed structures, driveway access, swimming pools, ancillary structures, eaves, and
ove
rhangs shall be clearly identified and labeled; for condominium sites, identify the location of your apartment
and its parking spaces.
c) Designated parking spaces for the STVR in compliance with Hawai‘i County Code (HCC), §25-4-50 through
25-4-54; each parking space must be at least 18’ long and 8.5’ wide, entirely with the boundary of the STVR
property, and must be accessible without another parked car having to be moved out of the way;
d) Reference points such as roadways, shoreline, etc; and
e) Table indicating total square footages of each of the structures on the property.
7. Fl
oor Plan. Drawn-to-scale, identifying the location and use of all rooms in the STVR with dimensions of all
spaces.
8. S
tatement of Compliance - All registered owners or their authorized agent must complete and sign the Statemen
t
of
Compliance
.
Please save copies of all of your documents.
STVR Registration Form, continued
STVR REGISTRATION FORM, Page 3
www.planning.hawaiicounty.gov Hawai`i County is an Equal Opportunity Provider and Employer planning@hawaiicounty.gov
---- THIS PAGE FOR OFFICE USE ONLY ---
SHORT-TERM VACATION RENTAL (STVR) REGISTRATION
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPROVAL
OWNER(S): ______________________________________________________________________________________
STVR ADDRESS: _________________________________________________________________________________
CITY: ___________________________________/HI ZIP CODE: ___________________
STVR TAX MAP KEY: (3)______________________________________
* If Building, Electric or Plumbing records can not be found, other records may be substituted. These records
may include Hawaiian Electric Light Company logs (available at Building Division) verifying conversion of
power connection from temporary to residential or final approved building/electrical/plumbing permits issued
on the building site subsequent to the original permit.
Building Permit Number(s) and
Final Approval Date(s)
General Description of Permit Permit Status Completed By: Date:
Electrical Permit Number(s) and
Final Approval Date(s):
General Description of Permit Permit Status Completed By: Date:
Plumbing Permit Number(s) and
Final Approval Date(s):
General Description of Permit Permit Status Completed By: Date: