ࡱ> [ bjbj  r4pa!\pa!\jK$>>>PD>r$!%^ & & &' ( *(AqCqCqCqCqCqCq$tw*gq*''"**gq & &Tr$J3J3J3*F & &AqJ3*AqJ3J3eSi &j#4+^g:-qxr<r hw+wtiiw]j2((rJ3D)\)N2(2(2(gqgq\/2(2(2(r****w2(2(2(2(2(2(2(2(2(> : DBPR HR-7027 DIVISION OF HOTELS AND RESTAURANTS application for PUBLIC LODGING establishment license Application begins on page 4 Congratulations on your decision to consider a new business venture! As you explore this opportunity, the Department of Business and Professional Regulations (DBPR) Division of Hotels and Restaurants (H&R) is ready to assist you through the licensing and regulatory process. Our responsibility is to work with the business community to achieve the highest levels of health and safety for all Floridians and tens of millions annual visitors. Toward that goal, we are a resource you can use to see that your new business operates within the requirements of the law. This packet contains information regarding the legal requirements of operating your business. It is very important that you familiarize yourself with this information before you begin operating. Many of our applications can be submitted online at http://www.myfloridalicense.com/DBPR/hotels-restaurants/. If you have questions, or need any clarification, please contact the DBPR Customer Contact Center at 850.487.1395 Monday through Friday or go online to our website. Because our knowledge and authority are in state government requirements, it is very important that you also contact local officials regarding any city and county requirements for a new business. Important note - An Online Account is required to self-print and maintain your license. We encourage you to create your DBPR account now, start here  HYPERLINK "http://www.myfloridalicense.com/DBPR/hotels-restaurants/" www.myfloridalicense.com/DBPR/hotels-restaurants/. All food and lodging license applications are available online. We wish you the best of luck and success in your venture. WHO NEEDS A PUBLIC LODGING ESTABLISHMENT LICENSE? Anyone planning to operate a public lodging establishment in Florida will need a license from the Department of Business and Professional Regulation, Division of Hotels and Restaurants according to section 509.013(4), Florida Statutes (FS). For detailed information on definitions and exemptions visit:  HYPERLINK "http://www.myfloridalicense.com/DBPR/hotels-restaurants/licensing/licensing-guides/" www.myfloridalicense.com/DBPR/hotels-restaurants/licensing/licensing-guides/. REQUIREMENTS Applications should be completed in full and submitted with the appropriate fees which can be found at  HYPERLINK "http://www.myfloridalicense.com/DBPR/hotels-restaurants/licensing/lodging-fees/" http://www.myfloridalicense.com/DBPR/hotels-restaurants/licensing/lodging-fees/. For lodging establishments three stories or higher, a Certificate of Balcony Inspection is required. DBPR HR-7020, Certificate of Balcony Inspection - This is the current form used to satisfy the requirements for balcony certification required by Florida law and rule 61C-3.001(5), Florida Administrative Code, and is available on our website  HYPERLINK "http://www.myfloridalicense.com/DBPR/hotels-restaurants/forms-publications/" www.myfloridalicense.com/DBPR/hotels-restaurants/forms-publications/. Complete and submit the form with your application if your lodging establishment is three stories or higher. Please note there may be additional requirements from other governmental agencies such as sales tax, FEIN, social security or ITIN number, food license, alcoholic beverage license, etc. . A satisfactory inspection is required for all public lodging establishment licensees except vacation rentals and ownership transfers that previously had a satisfactory inspection within the past 120 days. After we receive and process the application documents and fees, we will contact you to schedule an opening inspection. INSTRUCTIONS FOR COMPLETING THE APPLICATION SECTION 1 LICENSE TYPE Choose one box that most closely describes the planned establishment and list the number of rental units being licensed. Section 509.242(2), FS, states: If 25 percent or more of the units in any public lodging establishment fall within a classification different from the classification under which the establishment is licensed, such establishment shall obtain a separate license for the classification representing the 25 percent or more units which differ from the classification under which the establishment is licensed. The following definitions are provided from section 509.242, FS, unless otherwise indicated. Hotel A hotel is any public lodging establishment containing sleeping room accommodations for 25 or more guests and providing the services generally provided by a hotel and recognized as a hotel in the community in which it is situated or by the industry. Motel A motel is any public lodging establishment which offers rental units with an exit to the outside of each rental unit, daily or weekly rates, offstreet parking for each unit, a central office on the property with specified hours of operation, a bathroom or connecting bathroom for each rental unit, and at least six rental units, and which is recognized as a motel in the community in which it is situated or by the industry. Nontransient Apartment A nontransient apartment is a building or complex of buildings in which 75 percent or more of the units are available for rent to nontransient tenants. According to the exemption in section 509.013(4)(b), FS, the division only licenses nontransient apartments with more than 4 rental units. Florida law also exempts apartment buildings that are designated primarily as housing for persons at least 62 years of age and are inspected by the United States Department of Housing and Urban Development (HUD) or other entity acting on HUDs behalf. The division may require the operator of an exempt HUD-inspected apartment building to provide documentation. Transient Apartment A transient apartment is a building or complex of buildings in which more than 25 percent of the units are advertised or held out to the public as available for transient occupancy. Bed and Breakfast Inn A bed and breakfast inn is a family home structure, with no more than 15 sleeping rooms, which has been modified to serve as a transient public lodging establishment, which provides the accommodation and meal services generally offered by a bed and breakfast inn, and which is recognized as a bed and breakfast inn in the community in which it is situated or by the hospitality industry. Number of Rental Units: List the number of rental units being licensed. This directly affects the license fee. Please note that non-transient lodging establishments with 4 units or less are exempt from DBPR licensure. SECTION 2 APPLICATION INFORMATION Application Type indicate the type of application to be processed. For newly constructed establishments or facilities converted from another previous usage, choose New Establishment. For all establishments that were previously licensed by DBPR, choose Change of Ownership. License Number and Previous Business Name for applications for change of ownership, please indicate the previous license number and previous business name. Verify your information matches the license information on record at our website here:  HYPERLINK "http://www.myfloridalicense.com/DBPR/" http://www.myfloridalicense.com/DBPR/. This information will facilitate the processing of the application. Federal Employers Identification Number (FEIN) required for business/corporate applicants. Social Security Number at least one social security number is required. Under the Federal Privacy Act, disclosure of social security numbers is voluntary unless specifically required by federal statute. In this instance, disclosure of social security numbers is mandatory pursuant to Title 42 United States Code, sections 653 and 654; and sections 409.2577, 409.2598, and 559.79, Florida Statutes. Social security numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations. Social security numbers must also be recorded on all occupational license applications and are used for licensee identification purposes pursuant to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Welfare Reform Act), 104 Pub.L.193, Sec. 317. Sales Tax Number required by the Florida Department of Revenue to do business. If exempt, please mark the checkbox accordingly. Opening Date please indicate the date the establishment will be opened for business. License fees are partly based on the opening date and may be incorrectly calculated if the field is blank or incomplete causing the application to be delayed or denied. SECTION 3 OWNER AND MAIN ADDRESS Complete this information for the establishment owner as completely as possible. Incomplete information will result in the application being delayed or denied. Owner Name individual person or organization that currently owns the establishment. Also, check the appropriate box indicating whether the owner is legally a corporation, partnership or individual person. For establishments owned or operated by partnerships, corporations or cooperatives, please attach a separate sheet or sheets listing the name, address, and social security number of each person who owns 10% or more of the outstanding stocks or equity interest in the licensed activity. Routing Name if contact name is different than the owner, please indicate in the space provided. (Optional) Street Address or Post Office Box, City, State, Zip Code, Florida County (if applicable), Country address of record for purpose of official communications from the department. Phone Number primary contact number for questions or concerns about the application. E-Mail Address Primary email contact for communications about your application. SECTION 4 ESTABLISHMENT LOCATION INFORMATION Complete the establishment location information as thoroughly as possible, double check the street address for accuracy. Incomplete information in this section will result in the application being delayed or denied. Establishment Name (Doing Business As [DBA]) the proposed name of establishment. If the establishment is part of a chain, please indicate a unique identifier (for example, Hilton #3 or Marriott Tallahassee). Street Address, City, Zip Code, Florida County address of the establishment. Phone Number and E-Mail Address alternate contact information. SECTION 5 MAILING INFORMATION This is an optional additional address for mailing if applicable. If this information is the same as Section 3 or Section 4, please indicate. Routing Name if correspondence should be mailed to a different name than the owner, please indicate in the space provided. (Optional) Street Address or Post Office Box, City, State, Zip Code, Florida County (if applicable), Country address of record for purpose of official communications from the department. Phone Number and E-Mail Address alternate contact information. SECTION 6 LICENSE MODIFIER (Seasonal) Seasonal: If the facility is intended to operate for a limited amount of time each year (i.e., seasonal), indicate approximate start and end dates for operation. (Optional) SECTION 7 SIGNATURE Please print name and title, and then sign and date the application before submitting. If applying by mail complete the application and Certificate of Balcony Inspection (if applicable) and mail with full payment to: Division of Hotels and Restaurants Department of Business and Professional Regulation 2601 Blair Stone Road Tallahassee, FL 32399-0783 Next Steps: For fastest turnaround, apply online, at  HYPERLINK "http://www.myfloridalicense.com/DBPR/hotels-restaurants/" http://www.myfloridalicense.com/DBPR/hotels-restaurants/. Search our system for your application by name at  HYPERLINK "http://www.myfloridalicense.com/DBPR/" http://www.myfloridalicense.com/DBPR/ Opening Inspection A satisfactory inspection is required for all public lodging establishment licensees except vacation rentals and ownership transfers that previously had a satisfactory inspection within the past 120 days. After we receive and process the application documents and fees, we will contact you to schedule an opening inspection. If you have not heard from us within 30 days, or you have an urgent need to open your establishment sooner, please contact the DBPR Customer Contact Center at 850.487.1395 a few days before your opening date to schedule an inspection STATE OF FLORIDA, DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 2601 Blair Stone Road, Tallahassee Florida 32399-0783 Phone: 850.487.1395 Web: www.myfloridalicense.com/DBPR/hotels-restaurants/ Section 1 License Type and Rental UnitsPlease check the box that best describes the license type and enter the number of rental units for the establishment. FORMCHECKBOX Hotel (2001/HOTL) FORMCHECKBOX Nontransient Apartment (2003/NAPT) FORMCHECKBOX Bed and Breakfast Inn (2005/BNB) FORMCHECKBOX Motel (2002/MOTL) FORMCHECKBOX Transient Apartment (2003/TAPT)Enter the number of rental units: #  FORMTEXT      Required to calculate license feesSection 2  Application InformationPlease check the appropriate box and provide information as applicable. FORMCHECKBOX  New Establishment  FORMCHECKBOX  Change of Ownership (previously licensed within the last year by H&R please provide current license # below) OFFICE USE: TRANSACTION 1030: 2001, 2002, 2003/NAPT, 2005 TRANS. 1031: 2003/TAPTTRANSACTION 3021: 2001, 2002, 2003/NAPT, 2005 / TRANS. 3020: 2003/TAPTLicense Number (change of ownership only) FORMTEXT      * Under the Federal Privacy Act, disclosure of Social Security Numbers is voluntary unless specifically required by federal statute. In this instance, disclosure of social security numbers is mandatory pursuant to Title 42 United States Code, Sections 653 and 654; and sections 409.2577, 409.2598, and 559.79, Florida Statutes. Social Security numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations.Previous Business Name (change of ownership only) FORMTEXT      Federal Employers Identification Number (FEIN) (For businesses and corporations) FORMTEXT      Social Security Number (REQUIRED)* (For president, primary shareholder, partner or individual) FORMTEXT      Sales Tax Number (Check if exempt  FORMCHECKBOX ) FORMTEXT      Opening Date (MM/DD/YYYY) FORMTEXT      Section 3  Owner and Main Address (MA)Note: This address will be designated as the "address of record" for the owner of this establishment. For establishments owned or operated by partnerships, corporations OR COOPERATIVES, please attach a separate sheet or sheets listing the name, address, and social security number of each person who owns 10% or more of the outstanding stocks or equity interest in the licensed activity and the name, address, and social security numbers* of each officer, director, chief executive, or other person who, in accordance with the rules of the issuing agency, is determined to be able directly or indirectly to control the operation of the business of the licensed entity. Owner Name - please check one:  FORMCHECKBOX  Corporation  FORMCHECKBOX  Partnership  FORMCHECKBOX  Individual  FORMTEXT      Routing Name (e.g., Management Company, contact name)  FORMTEXT      Street Address or Post Office Box  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip Code (+4 optional)  FORMTEXT      Florida County (if applicable)  FORMTEXT      Country  FORMTEXT      Phone Number  FORMTEXT      E-Mail Address  FORMTEXT      Section 4  Establishment Location Information (LL)Establishment Name (DBA)  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      Zip Code (+4 optional)  FORMTEXT      Florida County  FORMTEXT      Phone Number  FORMTEXT      E-Mail Address  FORMTEXT       Section 5  Mailing Information (LM)Note: This address will be used by the department for any mailings.Complete below or check here if: Same as Section 3  Owner and Main Address  FORMCHECKBOX  Same as Section 4  Establishment Location  FORMCHECKBOX Routing Name (e.g., Management Company, contact name)  FORMTEXT      Street Address or Post Office Box  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip Code (+4 optional)  FORMTEXT      Florida County (if applicable)  FORMTEXT      Country  FORMTEXT      Phone Number  FORMTEXT      E-Mail Address  FORMTEXT        01f ' . / ʷxxiZiZiN?hjhjCJOJQJ^Jh[OCJOJQJ^JhrhGCJOJQJ^Jhrh! 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FORMCHECKBOX  Yes FORMCHECKBOX  No If Yes, indicate the seasonal dates in which the establishment will be open for operation below. Start Date FORMTEXT      End Date FORMTEXT       Section 7 - SignatureSECTION 559.79(2), FS: Each application for a license or renewal of a license issued by the Department of Business and Professional Regulation shall be signed under oath or affirmation by the applicant, or owner or chief executive of the applicant without the need for witnesses unless otherwise required by law.I certify that I am empowered to execute this application as required by Section 559.79, Florida Statutes. I understand that my signature on this written declaration has the same legal effect as an oath or affirmation. Under penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. I understand that falsification of any material information on this application may result in criminal penalty or administrative action, including a fine, suspension or revocation of the license. Applicant Name  FORMTEXT      Applicant Title  FORMTEXT      Signature Date  FORMTEXT      Application Checklist - Did you remember to&  Enter the number of rental units? Include the opening date? Include the previous license number and name of business if changing ownership? Include your DBA name? Double check the establishment location address is accurate and matches the license location address of the previous business if changing ownership? Include full payment? Reference the fee schedule at  HYPERLINK "http://www.myfloridalicense.com/DBPR/hotels-restaurants/licensing/lodging-fees/" http://www.myfloridalicense.com/DBPR/hotels-restaurants/licensing/lodging-fees/ or call 850-487-1395 if you need assistance with fees. Use the entire 9-digit zip code in the address below to ensure proper handling if submitting by mail. 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More resources are available on our website: www.myfloridalicense.com/DBPR/hotels-restaurants/      2022 August 61C-1.002, FAC Page  PAGE 3 of 5 2022 August 61C-1.002, FAC Page  PAGE 1 of 5 DBPR HR-7027 Division of Hotels and Restaurants Application for Public Lodging Establishment License 2022 August 61C-1.002, FAC  SHAPE \* MERGEFORMAT  Page  PAGE 5 of 5 DBPR HR-7027 Division of Hotels and Restaurants Application for Public Lodging Establishment License 2022 August 61C-1.002, FAC Page  PAGE 4 of 5 d_]]]]gdxkdK$$Ifl*+  t 044 lap yt $$Ifa$gd7 $Ifgd7 & F$Ifgdu  #%&'2HIOPQRWXYǿymy`hV2h%#CJOJQJh%#0JCJOJQJh%CJOJQJmHnHujh%#CJOJQJUh%#CJOJQJh_CJOJQJ^Jh%#h%#5CJOJQJh:Jjh:JUhhCJOJQJ^Jh5`h5CJOJQJh5`hCJOJQJh `h5CJOJQJ#&'XYvwgd `gdV2 |)dgdV2 ")dgd_h `^` `gdyY  uvwɻɁɁrf[WSɁɁrhnh\h\5CJOJQJh%#0JCJOJQJh%CJOJQJmHnHujh%#CJOJQJUj1Lhc!CJOJQJU&jhc!CJOJQJUmHnHuhc!CJOJQJjhc!CJOJQJUh%#CJOJQJh_CJOJQJ^Jh%#hV2h%#5CJOJQJhyh%#5CJOJQJ hhCJOJQJ^Jh:Jh%#hV2h%#CJOJQJLhxhxhxhxhxhxhxhxhxooo 00*P&P1F/R 8$:pV2BP/ =!"#$@% 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