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Application For Extension Of Licensed Premises Or Amended Sketch Of Licensed Premises ABT-6029 - Florida
| Application For Extension Of Licensed Premises Or Amended Sketch Of Licensed Premises Form. This is a Florida form and can be used in Alcoholic Beverages And Tobacco Department Of Business And Professional Regulation Statewide . |
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INSTRUCTIONS FOR COMPLETING DBPR ABT 6029 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR EXTENSION OF LICENSED PREMISES OR AMENDED SKETCH OF LICENSED PREMISES If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation or your local district office. Please submit your completed application to your local district office. This application may be submitted by mail, through appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&T's page of the DBPR web site at the link provided below. http://www.myflorida.com/dbpr/abt/district_offices/licensing.html GENERAL REQUIREMENTS This application must be submitted for approval when changes are made to the licensed premises whether the extension is permanent or temporary. Please complete all information. Incomplete applications will be returned. All questions are applicable and must be answered fully and truthfully. You must provide an original application and a copy of all supporting documentation. All signatures must be original. APPLICATION REQUIREMENTS Applicants for Temporary Extension of Premises Permits must submit the application at least seven (7) days prior to the first date of the event to insure the permit is issued by the event date. Zoning Approval Applies to Permanent or Temporary Extension of Premises Only Zoning approval is executed by the city or county zoning authority in which the business to be licensed is located. This application is to be taken to the Zoning Department (City or County) that governs the location of your business. Applications must be submitted within 180 days of receiving this approval. Affidavit of Applicant Read and sign in the presence of a notary. The affidavit must be signed by the individual applicant, a partner of each general partnership, a general partner of each general partnership of a limited partnership, a managing member or manager of a limited liability company, or one of the officers of a corporate applicant. Sketch of Premises A sketch of the entire premises (existing premises on file with the division and the additional area to be included), drawn in ink or computer generated (letter size), which includes all walls, doors, counters, sales areas, storage areas, etc. No architectural drawings are accepted. Amended Sketch of Premises Draw, in ink, a complete amended sketch of the premises, which includes all walls, doors, counters, sales areas, storage areas, etc. Changes may be made to the existing premises only; no additional rooms may be added. Note: The completion of Section 3 - Zoning Approval does not apply to amended sketch premises. Auth. 61A-5.0020, FAC 1 Eff. 11/16/2010 American LegalNet, Inc. www.FormsWorkFlow.com APPLICATION CHECKLIST Select the appropriate transaction below and comply with the corresponding application requirements. TRANSACTION Extension of Licensed Premises Amended Sketch APPLICATION REQUIREMENTS Pay $100 fee for temporary extension of licensed premises only (make check payable to the Division of Alcoholic Beverages and Tobacco) Complete DBPR ABT-6029 Division of Alcoholic Beverages and Tobacco Application for Extension of Licensed Premises or Amended Sketch of Licensed Premises Complete DBPR ABT-6029 Division of Alcoholic Beverages and Tobacco Application for Extension of Licensed Premises or Amended Sketch of Licensed Premises Section 3 of this application does not apply Auth. 61A-5.0020, FAC 2 Eff. 11/16/2010 American LegalNet, Inc. www.FormsWorkFlow.com DBPR ABT-6029 Division of Alcoholic Beverages and Tobacco Application for Extension of Licensed Premises or Amended Sketch of Licensed Premises STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DBPR Form ABT-6029 Revised 09/2010 NOTE This form must be submitted as part of an application packet If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation or your local district office. Please submit your completed application to your local district office. This application may be submitted by mail, through appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&T's page of the DBPR web site at the link provided below. http://www.myflorida.com/dbpr/abt/district_offices/licensing.html SECTION 1 - CHECK TRANSACTION REQUESTED Transaction Type: Temporary Extension Permanent Extension Amended Sketch SECTION 2 - LICENSE INFORMATION Licensee (as listed on alcoholic beverage license) Business Name (D/B/A) Location Address (Street) City Beverage License Number Contact Person County Series Business Phone Number State FL Type Zip Code Home/Mobile Phone Number FOR TEMPORARY EXTENSIONS ONLY: Date(s) of Extension: SECTION 3 - ZONING APPROVAL TO BE COMPLETED BY THE ZONING AUTHORITY GOVERNING YOUR BUSINESS LOCATION (This section only applies to a permanent or temporary extension of licensed premises) Are there outside areas which are contiguous to the premises which are to be part of the premises sought to Yes No be licensed?" does comply or The above extension of the licensed premises as shown in the sketch with zoning requirements for the sale of alcoholic beverages pursuant to this application. Signed: Title: Date: does not comply Auth. 61A-5.0020, FAC 1 Eff. 11/16/2010 American LegalNet, Inc. www.FormsWorkFlow.com SECTION 4 - AFFIDAVIT OF APPLICANT NOTARIZATION REQUIRED Business Name (D/B/A) "I, the undersigned individually, or if a registered legal entity for itself, its officers and directors, hereby swear or affirm that I am duly authorized to make the above and foregoing application and, as such, I hereby swear or affirm that the attached sketch is a true and correct representation of the extended licensed premises and agree that the place of business may be inspected and searched during business hours or at any time business is being conducted on the premises without a search warrant by officers of the Division of Alcoholic Beverages and Tobacco, the sheriff, his deputies, and police officers for the purposes of determining compliance with the beverage and cigarette laws." I swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791, 562.45 and 837.06, Florida Statutes that the foregoing information is true and correct." If applying for a temporary extensio
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