Dbpr Form Abt-6023 - Examination Application printable pdf download

Dbpr Form Abt-6023 - Examination Application

DBPR ABT-6023 – Division of Alcoholic Beverages and Tobacco Special License Inspection Form

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. Please submit your completed application to your local district office.

Submission may be done by mail, through appointment or dropped off at your local district office. 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.

SECTION 1 - APPLICANT INFORMATION

Full Name of Applicant (if this is a corporation or other legal entity, enter the name as registered with the

Secretary of State)

Trade Name (D/B/A)

Telephone Number

Current Location Address

City

State

Zip Code

SECTION 2 - TO BE COMPLETED BY THE DIVISION OF HOTELS AND RESTAURANTS

Full Name of Applicant

Food Service – Special Restaurant License

Square footage of entire premises to be licensed

•

Must derive at least 51 percent of its gross revenue from the sale of food and non-alcoholic

beverages.

•

Must include any space used exclusively in the operation of the restaurant, including but not limited

to, kitchens, food service areas, pantries, storage rooms, offices and bathrooms.

•

Must be contiguous and under the management and control of a single, licensed restaurant

establishment.

at least 1,800 sq. ft.

at least 2,500 sq. ft.

at least 3,000 sq. ft.

at least 4,000 sq. ft.

at least 5,000 sq. ft.

Dbpr Form Abt-6023 - Examination Application