Dbpr Hr 7025 Form PDF Details

In order to be compliant with Department of Business and Professional Regulation (DBPR) requirements, many businesses are required to complete and submit the DBPR HR 7025 Form. The form is used to track employee hires, separations, and other changes within your workforce. Completing the form can be a time-consuming process, but it's important to ensure that all required information is included. In this blog post, we'll provide an overview of the DBPR HR 7025 Form and offer tips for completing it accurately. Stay tuned!

QuestionAnswer
Form NameDbpr Hr 7025 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesE-mail, dhr, dhr elevators myfloridalicense, myfloridalicence com

Form Preview Example

DBPR HR-7025– Division of Hotels and Restaurants, Bureau of Elevator Safety

Application for Certificate of Operation

STATE OF FLORIDA

DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION

1940 North Monroe Street

Tallahassee, FL 32399-0783

Phone: 850.487.1395 – E-mail: dhr.elevators@dbpr.state.fl.us

www.MyFloridaLicense.com/dbpr/hr

Please direct questions about this application to the Department of Business and Professional Regulation’s Customer Contact Center at 850.487.1395. Information is also available online at www.MyFloridaLicense.com/dbpr/hr/.

SECTION 1 - ELEVATOR SERIAL NUMBER

As provided on the Permit to Install, Alter or Relocate or the previous Certificate of Operation

Serial Number

Note: The serial number must be present or the application will be returned.

 

 

SECTION 2 – BUILDING INFORMATION

Note: If the information below has changed since the

Permit to Install, Alter or Relocate was issued, please provide the updated information.

Primary Name (enter name of the building owner)

Main Address (enter building address)

City

County

State

Zip Code

D/B/A Name (enter Business Name or Doing Business As Name of the building)

MAILING INFORMATION

Name

Mailing Address

City

State

Zip Code

 

 

CONTACT INFORMATION

 

 

Contact Name

Primary Business Phone Number

 

Primary E-Mail Address

Alternate Phone Number or Fax Number

SECTION 3 – ELEVATOR COMPANY INFORMATION (FOR SERVICE MAINTENANCE CONTRACT HOLDERS)

Organization Name

Address

License Number

(Registered Elevator Company)

City

State

Zip Code

SECTION 4 – APPLICANT SIGNATURE

Pursuant to Sections 399.03 and 399.07, Florida Statutes, the undersigned hereby applies for Certificate of Operation for an elevator in the building located at the address indicated. I understand the elevator owner is responsible for the safe operation, proper maintenance, fees, and annual inspection and prompt correction of code deficiencies of the elevator.

Authorized Signature of Applicant

 

Date Signed

 

 

 

 

 

 

Social Security Number*

Date Submitted

Fee Amount Enclosed

Application Update

 

 

$

Yes

No

*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.

2009 October 14

Page 1 of 1

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Filling in part 1 of myfloridalicence

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myfloridalicence conclusion process shown (part 2)

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