HomeMy WebLinkAboutDBPRDBPR ABT-6003 - Division Of Alcoholic Beverages and Tobacco Application for One/Two/Three
Day Permits or Special Sales License
DBPR
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL
REGULATION
1940 North Monroe Street
Tallahassee, FL 32399-0783
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.
htto://www.state.ifus/clbor/abt/contact/index.shtml
Transaction Type:
One/Two/Three Da Permit
SECTION 1.4 GHECK TRANSACTION REQUESTED
❑ Special Sales License
SECTION 2::-.LICENSE INFORMATION ..
Full Name of Entity or Organization
Of this is a �corporation,,or other legal entity, enter the name as regl,� tered with the Secretary of State) e,(1aAl (pccVC gr/1_44/3 E ee dF //v .
Corporation Charter Number Of applicable) .J
-Business Name orNameof Event Na
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Location of Event (Street and NumhAer)`
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City
Maillq Address (Street or P.O. Box
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City
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Coun
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Contact Person1--
Date(s)11-1
a Permit Desired C. ` Ci
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state
G Zt Code
Phon Number .
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