Dbpr Hr 7007 Form PDF Details

The Dbpr Hr 7007 Form is a document used to request information from the Department of Business and Professional Regulation (DBPR) about a specific business or professional. The form can be used to request information such as the license history of a business, disciplinary actions against a business or professional, or other general information about DBPR's records on that entity. The form must be completed and submitted in writing, and can be sent by mail, email, or fax.

QuestionAnswer
Form NameDbpr Hr 7007 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesDBPR, 2010-SEAT, 2013-CATR, can i file the dbpr hr 7007 form on line

Form Preview Example

DBPR HR-7007 – Division of Hotels and Restaurants Application for Public Food Service Establishment License

STATE OF FLORIDA, DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 1940 North Monroe Street, Tallahassee, Florida 32399-0783

Phone: 850.487.1395 – E-mail: /www.MyFloridaLicense.com/contactus/ – Internet: www.MyFloridaLicense.com/dbpr/hr/

Section 1 – License Type

Please check the appropriate box and provide information as applicable.

Seating

No Seats

Theme Park Food

Catering

Mobile Food Dispensing

Hot Dog Cart

Vending Machine

(2010/SEAT)

(2010/NOST)

Cart (2012/PARK)

(2013/CATR)

Vehicle (2014/MFDV)

(2014/HTDG)

(2015/VEND)

# of Seats or Carts

(For fee calculation purposes only)

The division does not authorize the number of seats. For seating levels and changes to seating, the applicant must obtain wastewater approvals from the Florida Department of Health, Florida Department of Environmental Protection or the local utility authority. The local authority having jurisdiction must approve fire safety issues relating to seating levels.

Vehicle Identification Number (VIN) – for MFDVs

Use separate sheet if necessary for group licensing of theme park food carts

MFDVs - Is this vehicle self-sufficient?

Yes

No If “No”, you are required to provide commissary information for license approval.

 

 

 

Vending Machine Serial Number

 

 

Section 2 – Application Information

Please check the appropriate box and provide information as applicable.

New Establishment or Vehicle

Change of Ownership

(previously licensed within the last year by H&R – please provide current license # below)

 

OFFICE USE: TRANSACTION 1032: 2010-SEAT, 2012-PARK, 2013-CATR, 2015-VEND

TRANSACTION 3020:

2010-SEAT, 2014-HTDG

 

TRANSACTION 1033: 2010-NOST / TRANSACTION 1034: 2014-HTDG/MFDV

TRANSACTION 3021:

2010-NOST, 2012-PARK, 2013-CATR, 2014-MFDV, 2015-VEND

Plan Review Requirement

Completed – File Number

In progress – File Number

Not required

All food service locations that have not held a license with this division within one calendar year and existing food service locations that have been remodeled require plan review. For more information, please see our website. For faster processing, please include a copy of your letter from the Plan Review Office with your application or provide your file number above.

License Number (change of ownership only)

Previous Business Name (change of ownership only)

Federal Employers Identification Number (FEIN) (For businesses and corporations)

Social Security Number (REQUIRED)*

(For president, primary shareholder, partner or individual)

Sales Tax Number (Check if exempt )

Opening Date (MM/DD/YYYY)

Section 3 – Owner and Main Address (MA)

*Under the Federal Privacy Act, disclosure of Social Security Numbers is voluntary unless specifically required by Federal statute. In this instance, disclosure of social security numbers is mandatory pursuant to Title 42 United States Code, Sections 653 and 654; and sections 409.2577, 409.2598, and 559.79, Florida Statutes. Social Security numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations.

Note: This address will be designated as the "address of record" for the owner of this establishment.

FOR ESTABLISHMENTS OWNED OR OPERATED BY PARTNERSHIPS, CORPORATIONS OR COOPERATIVES, please attach a separate sheet or sheets listing the name, address, and social security number of each person who owns 10% or more of the outstanding stocks or equity interest in the licensed activity and the name, address, and social security numbers* of each officer, director, chief executive, or other person who, in accordance with the rules of the issuing agency, is determined to be able directly or indirectly to control the operation of the business of the licensed entity.

Owner Name (please check one: Corporation

Partnership

Individual)

 

 

 

 

 

Routing Name (e.g., Management Company, contact name)

 

 

 

 

 

 

 

Street Address or Post Office Box

 

 

 

 

 

 

 

 

City

 

State

 

Zip Code (+4 optional)

 

 

 

 

 

Florida County (if applicable)

Country

 

 

 

 

 

 

 

Phone Number

E-Mail Address

 

 

 

 

 

 

 

 

Section 4 – Establishment Location Information (LL)

For mobile food dispensing vehicles and hot dog carts, the license location is the primary commissary address. For self-sufficient vehicles that do not use a commissary, this address may be the owner's main address or mailing address.

Establishment Name (DBA)

Street Address

City

 

Zip Code (+4 optional)

Florida County

 

 

 

 

Phone Number

E-Mail Address

 

 

 

 

 

2012 November 1

61C-1.002, FAC

Page 1 of 2

DBPR HR-7007 – Division of Hotels and Restaurants Application for Public Food Service Establishment License

Section 5 – Mailing Information (LM)

Note: This address will be used by the department for all mailings, including the license.

Complete below or check here if: Same as Section 3 – Owner and Main Address Same as Section 4 – Establishment Location

Routing Name (e.g., Management Company, contact name)

Street Address or Post Office Box

City

State

Zip Code (+4 optional)

Florida County (if applicable)

Country

Phone Number

E-Mail Address

Section 6 – License Modifiers

Seasonal: Will this establishment be operated only during a particular time period during the year?

Yes

No

If Yes, indicate the seasonal dates in which the establishment will be open for operation below.

Start Date

End Date

Commissary: Will this establishment be operating as a commissary for a mobile food dispensing vehicle, hot dog cart or theme park food cart?

Yes

No

Catering: Will this establishment offer catering service, either as a primary or secondary service?

Yes

No

 

 

 

Section 7 - Additional Information

 

 

Is this food service establishment associated with a lodging establishment?

Yes

No

If yes, indicate the name and license number of the associated lodging establishment below

 

 

Name of Lodging Establishment

License Number of Lodging Establishment

Is this food service establishment free standing (not within another structure, such as a hotel or mall)?

Yes

No

Section 8 - Signature

SECTION 559.79 (2), FS: Each application for a license or renewal of a license issued by the Department of Business and Professional Regulation shall be signed under oath or affirmation by the applicant, or owner or chief executive of the applicant without the need for witnesses unless otherwise required by law.

I certify that I am empowered to execute this application as required by Section 559.79, Florida Statutes. I understand that my signature on this written declaration has the same legal effect as an oath or affirmation. Under penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. I understand that falsification of any material information on this application may result in criminal penalty or administrative action, including a fine, suspension or revocation of the license.

Applicant Name

Applicant Title

Signature

Date

Complete the application and supporting documents and mail them with the appropriate fees to the address on this form. Please use the entire 9-digit zip code in the address to ensure proper handling.

2012 November 1

61C-1.002, FAC

Page 2 of 2

How to Edit Dbpr Hr 7007 Form Online for Free

With the online editor for PDFs by FormsPal, you'll be able to fill out or change 2013-CATR here and now. Our editor is continually developing to grant the very best user experience attainable, and that is due to our commitment to constant development and listening closely to user feedback. Should you be looking to get started, here is what it requires:

Step 1: Click on the orange "Get Form" button above. It's going to open our pdf tool so you could begin filling in your form.

Step 2: With this handy PDF tool, you are able to do more than merely complete blanks. Try all of the features and make your documents look professional with customized textual content added in, or optimize the original content to excellence - all comes with an ability to incorporate just about any pictures and sign it off.

This PDF form will need specific information; to guarantee accuracy, please make sure to take note of the subsequent recommendations:

1. Whenever filling in the 2013-CATR, make sure to complete all essential blanks within the relevant form section. This will help hasten the process, allowing for your details to be handled efficiently and properly.

2011 writing process shown (stage 1)

2. Right after this array of fields is filled out, go on to type in the suitable details in all these: Corporation, Partnership, Individual, Section Owner and Main Address, Zip Code optional, EMail Address, Florida County, Zip Code optional, Country, EMail Address, State, November, C FAC, and Page of.

Partnership, C FAC, and Zip Code optional of 2011

People frequently make some errors when filling in Partnership in this area. You should definitely double-check whatever you type in here.

3. This next step is going to be easy - fill in all the fields in Section Mailing Information LM, EMail Address, Country, Same as Section Establishment, State, Zip Code optional, Seasonal Will this establishment, Yes, If Yes indicate the seasonal dates, Start Date, End Date, Commissary Will this establishment, hot dog cart or theme park food, Yes, and Catering Will this establishment to finish this segment.

The way to prepare 2011 portion 3

4. This specific subsection arrives with the next few fields to complete: Section Additional Information, Yes, Name of Lodging Establishment, License Number of Lodging, Is this food service establishment, Yes, Section Signature SECTION FS, Applicant Name, Signature, Applicant Title, Date, and Complete the application and.

2011 writing process clarified (part 4)

Step 3: Ensure that your details are correct and then just click "Done" to proceed further. Make a 7-day free trial account with us and gain direct access to 2013-CATR - downloadable, emailable, and editable in your personal cabinet. With FormsPal, you can fill out forms without worrying about information incidents or data entries getting distributed. Our protected system helps to ensure that your personal details are kept safe.

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