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Dbpr Form Abt-6003 - Division Of Alcoholic Beverages And Tobacco Application For One/two/three Day Permits Or Special Sales License

DBPR ABT-6003 – Division Of Alcoholic Beverages and Tobacco Application for One/Two/Three

Day Permits or Special Sales License

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

SECTION 1 -- CHECK TRANSACTION REQUESTED

Transaction Type:

One/Two/Three Day Permit

Special Sales License

SECTION 2 – LICENSE INFORMATION

Full Name of Entity or Organization

(If this is a corporation or other legal entity, enter the name as registered with the Secretary of State)

Corporation Charter Number (if applicable)

Business Name or Name of Event

Location of Event (Street and Number)

City

County

State

Zip Code

Mailing Address (Street or P.O. Box)

City

State

Zip Code

Contact Person

Phone Number

Date(s) Permit Desired

Dbpr Form Abt-6003 - Division Of Alcoholic Beverages And Tobacco Application For One/two/three Day Permits Or Special Sales License