Dbpr Form Abt-6003 - Division Of Alcoholic Beverages And Tobacco Application For One/two/three Day Permits Or Special Sales License Page 2
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5SECTION 3 – SALES TAX
TO BE COMPLETED BY THE DEPARTMENT OF REVENUE
Name of Entity or Organization
The named applicant for a license/permit has complied with the Florida Statutes concerning registration for
Sales and Use Tax and has agreed to pay any applicable taxes due.
Signed____________________________________________________Date_____________________
Title______________________________________________________
Department of Revenue Stamp:
SECTION 4 - ZONING
TO BE COMPLETED BY THE ZONING AUTHORITY GOVERNING YOUR BUSINESS LOCATION
Organization Name/Name of Event
Location of Event (Street and Number)
City
County
The location complies with zoning requirements for the temporary sale of alcoholic beverages pursuant
to this application for a One/Two/Three Day permit.
Signed____________________________________________________Date_____________________
Title______________________________________________________
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