Dbpr Hr 7025 Form – Fill Out and Use This PDF

The license number must be present or the application will be returned.

Enter the Owner Name (please check one: Corporation Partnership Individual), the Street Address or Post Office Box and the City. The Street Address or Post Office Box in Section 2 will be designated as the "address of record" for the party responsible for licensing and operation of this elevator.

Section 3 Building Information: Enter the Building Name (DBA), the Elevator Nickname (DBA) (e.g. #1, Bldg A, Atrium, etc.), the Street Address (Enter complete physical street name and number for the building location), the City and the Primary Business Phone Number.

The Street Address or Post Office Box in Section 4 License Mailing Information will be used by the department for all mailings to the elevator owner, including the certificate of operation and license renewal notices. Enter the Routing Name (e.g., Management Company, contact name), the Street Address or Post Office Box, the City, the E-Mail Address (Optional) and the Primary Business Phone Number.

Section 5 Applicant Signature: Pursuant to Sections 399.03 and 399.07, Florida Statutes, the undersigned hereby applies for a Certificate of Operation for an elevator in the building located at the address indicated.

You certify that you are empowered to execute this application as required by Section 559.79, Florida Statutes.

The elevator owner is responsible for the safe operation, proper maintenance, fees, annual inspection and prompt correction of code deficiencies of the elevator.

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.

A change of owner application with fees are required when the certificate of operation is delinquent or when the license renewal period is active (between May 1 and July 31).

No fees are required when the certificate of operation is current and the license renewal period is not active (between August 1 and April 30).

Send the completed application, documentation and fee, if applicable, to: Department of Business and Professional Regulation Bureau of Elevator Safety 2601 Blair Stone Road Tallahassee, FL 32399-0783 Use the entire 9-digit zip code in the address to ensure proper handling.

If applicable, pay $75 certificate fee (make check payable to the Department of Business and Professional Regulation) (checked November 7, 2026).

Falsification of any material information on this application may result in criminal penalty or administrative action, including a fine, suspension or revocation of the certificate.