Form Dbpr Abt-6037 - Division Of Alcoholic Beverages And Tobacco License Or Permit Application Waiver

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DBPR ABT-6037 – Division of Alcoholic Beverages and Tobacco License or Permit Application
Waiver
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 and required fee(s) 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 – WAIVER TYPE
Waiver Type: (Please check the appropriate box)
90-Day Waiver
180-Day Waiver (New Quota Issuance Only)
SECTION 2 - APPLICATION INFORMATION
Chapters 120 and 561, Florida Statutes, require your application be processed within 90 or 180 days. The
Division of Alcoholic Beverages and Tobacco may be unable to meet the time requirements in your case.
Therefore, the division requests you waive the time requirements for processing your application. Your
application will be processed as expeditiously as possible.
If you wish to waive the above limitations, please complete the following:
Business Name
Full Name of Applicant
Phone Number
Mailing Address
City
County
State
Zip Code
SECTION 3 – AFFIRMATION STATEMENT OF TIME RESTRICTIONS
I do hereby waive all time restrictions surrounding the processing of the above referenced application. I do
so knowingly and voluntarily.
_________________________________________________________________ ________________
Applicant Signature
Date
1

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