Form Dbpr Abt-6001 - Examination Application For Alcoholic Beverage License And Tobacco Permit Page 8
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13SECTION 8 – HEALTH
TO BE COMPLETED BY THE DIVISION OF HOTELS AND RESTAURANTS
OR COUNTY HEALTH AUTHORITY
OR DEPARTMENT OF HEALTH
OR DEPARTMENT OF AGRICULTURE & CONSUMER SERVICES
Trade Name (D/B/A)
Street Address
City
County
State
Zip Code
The above establishment complies with the requirements of the Florida Sanitary Code.
Signed_______________________________________________________Date____________________
Title________________________________________________ Agency____________________________
SECTION 9 – CONTRACTS OR AGREEMENTS
These questions must be answered about this business for every person or entity listed. Copies of
agreements must be submitted with this application.
1.
Yes
No
Is there a management contract, franchise agreement, or service agreement in
connection with this business?
2.
Yes
No
Are there any agreements which require a payment of a percentage of gross or net
receipts from the business operation?
3.
Yes
No
Have you or anyone listed on this application, accepted money, equipment or
anything of value in connection with this business from a manufacturer or
wholesaler of alcoholic beverages?
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