Form DBPR HR-7025 "Application for Elevator Change of Owner and Certificate of Operation" - Florida

What Is Form DBPR HR-7025?

This is a legal form that was released by the Florida Department of Business & Professional Regulation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2019;
  • The latest edition provided by the Florida Department of Business & Professional Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DBPR HR-7025 by clicking the link below or browse more documents and templates provided by the Florida Department of Business & Professional Regulation.

ADVERTISEMENT
ADVERTISEMENT

Download Form DBPR HR-7025 "Application for Elevator Change of Owner and Certificate of Operation" - Florida

Download PDF

Fill PDF online

Rate (4.5 / 5) 11 votes
DBPR HR-7025 - APPLICATION FOR
ELEVATOR CHANGE OF OWNER AND CERTIFICATE OF OPERATION
Congratulations on your decision to apply for your elevator certificate of operation! The Department of
Business and Professional Regulation’s (DBPR) Division of Hotels and Restaurants (H&R) is ready to assist
you through the licensing and regulatory process.
This packet contains the legal requirements for your certificate. It is very important that you familiarize yourself
with this information before you begin operating. If you have questions, or need any clarification, please
contact the DBPR Customer Contact Center at 850.487.1395 or go online to
www.MyFloridalicense.com/DBPR/elevator-safety/. In addition to working with us to meet the state
requirements, it is very important that you also contact local officials regarding any city and county
requirements to register as a new
owner.
IMPORTANT TERMS
This application uses the following terms from Chapter 399, Florida Statutes (F.S.) and Rule 61C-5.008,
Florida Administrative Code (F.A.C.).
“Current satisfactory inspection” means an inspection completed by a certified elevator inspector on or after
August 1 of the previous year that is the most recent annual inspection conducted and that contains no
violations (Rule 61C-5.008(6), F.A.C.).
“Registered elevator company” means an entity registered with and authorized by the division employing
persons to construct, install, inspect, maintain, or repair any vertical conveyance. (s. 399.01(12), F.S.)
“Service maintenance contract” means a contract that provides for routine examination, lubrication, cleaning,
adjustment, replacement of parts, and performance of applicable code-required safety tests such as on a
traction elevator and annual relief pressure test on a hydraulic elevator and any other service, repair, and
maintenance sufficient to ensure the safe operation of the elevator. (s. 399.01(10), F.S.)
“Two-stop elevator” is an elevator that is not an escalator or a dumbwaiter and serves only two adjacent floors.
(s. 399.061(1)(a), F.S.)
TWO-STOP EXEMPTION REQUIREMENTS
Florida law allows owners of two-stop elevators to be exempted from the annual inspection requirement when
a service maintenance contract is in effect (s. 399.061(1)(a), F.S.). The elevator owner may choose to either
submit annual inspections or annual verification of the existence and performance of a service maintenance
contract.
To claim the exemption from annual inspections, elevator owners must verify the existence and performance of
a service maintenance contract by submitting written verification annually (s. 399.061(1)(b), F.S.). If a service
maintenance contract is cancelled or expires, the owner must notify the division within 30 days (Rule 61C-
5.013(2)(3), F.A.C.). See Rule 61C-5.013, F.A.C., for additional information relating to the maintenance and
performance requirements for a service maintenance contract exemption.
Verification of the service maintenance contract is not required if the owner completes annual inspections or
the conveyance is not an eligible two-stop elevator.
2019 August
61C-5.006, F.A.C.
Page 1 of 3
DBPR HR-7025 - APPLICATION FOR
ELEVATOR CHANGE OF OWNER AND CERTIFICATE OF OPERATION
Congratulations on your decision to apply for your elevator certificate of operation! The Department of
Business and Professional Regulation’s (DBPR) Division of Hotels and Restaurants (H&R) is ready to assist
you through the licensing and regulatory process.
This packet contains the legal requirements for your certificate. It is very important that you familiarize yourself
with this information before you begin operating. If you have questions, or need any clarification, please
contact the DBPR Customer Contact Center at 850.487.1395 or go online to
www.MyFloridalicense.com/DBPR/elevator-safety/. In addition to working with us to meet the state
requirements, it is very important that you also contact local officials regarding any city and county
requirements to register as a new
owner.
IMPORTANT TERMS
This application uses the following terms from Chapter 399, Florida Statutes (F.S.) and Rule 61C-5.008,
Florida Administrative Code (F.A.C.).
“Current satisfactory inspection” means an inspection completed by a certified elevator inspector on or after
August 1 of the previous year that is the most recent annual inspection conducted and that contains no
violations (Rule 61C-5.008(6), F.A.C.).
“Registered elevator company” means an entity registered with and authorized by the division employing
persons to construct, install, inspect, maintain, or repair any vertical conveyance. (s. 399.01(12), F.S.)
“Service maintenance contract” means a contract that provides for routine examination, lubrication, cleaning,
adjustment, replacement of parts, and performance of applicable code-required safety tests such as on a
traction elevator and annual relief pressure test on a hydraulic elevator and any other service, repair, and
maintenance sufficient to ensure the safe operation of the elevator. (s. 399.01(10), F.S.)
“Two-stop elevator” is an elevator that is not an escalator or a dumbwaiter and serves only two adjacent floors.
(s. 399.061(1)(a), F.S.)
TWO-STOP EXEMPTION REQUIREMENTS
Florida law allows owners of two-stop elevators to be exempted from the annual inspection requirement when
a service maintenance contract is in effect (s. 399.061(1)(a), F.S.). The elevator owner may choose to either
submit annual inspections or annual verification of the existence and performance of a service maintenance
contract.
To claim the exemption from annual inspections, elevator owners must verify the existence and performance of
a service maintenance contract by submitting written verification annually (s. 399.061(1)(b), F.S.). If a service
maintenance contract is cancelled or expires, the owner must notify the division within 30 days (Rule 61C-
5.013(2)(3), F.A.C.). See Rule 61C-5.013, F.A.C., for additional information relating to the maintenance and
performance requirements for a service maintenance contract exemption.
Verification of the service maintenance contract is not required if the owner completes annual inspections or
the conveyance is not an eligible two-stop elevator.
2019 August
61C-5.006, F.A.C.
Page 1 of 3
APPLICATION REQUIREMENTS:
Change of Owner – A change of owner application with fees are required when the certificate of operation is
delinquent or when the license renewal period is active (between May 1 and July 31). No fees are required
when the certificate of operation is current and the license renewal period is not active (between August 1 and
April 30).
Complete DBPR HR-7025, Application for Change of Owner and Certificate of Operation; and
If applicable, pay $75 certificate fee (make check payable to the Department of Business and Professional
Regulation).
Submit proof of a current satisfactory inspection or if the elevator qualifies for the two-stop annual
inspection exemption in s. 399.061, F.S., submit completed DBPR Form HR-5023-060, Service
Maintenance Contract Verification for Two-Stop Exemption.
Please send your completed application, documentation and fee, if applicable, to:
Department of Business and Professional Regulation
Bureau of Elevator Safety
2601 Blair Stone Road
Tallahassee, FL 32399-0783
Please use the entire 9-digit zip code in the address above to ensure proper handling.
www.MyFloridalicense.com/DBPR/elevator-safety/
2019 August
61C-5.006, F.A.C.
Page 2 of 3
DBPR HR-7025 – Application for Elevator Change of Owner and Certificate of Operation
STATE OF FLORIDA, DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
Division of Hotels and Restaurants, Bureau of Elevator Safety
2601 Blair Stone Road, Tallahassee, FL 32399-0783
Phone: 850.487.1395 – E-mail:
www.MyFloridaLicense.com/contactus/
Internet:
www.MyFloridalicense.com/DBPR/elevator-safety/
Please direct questions about this application to the Department of Business and Professional Regulation’s Customer Contact Center at
850.487.1395.
Section 1 – Elevator Information (Client Code 2101)
Certificate of Operation
Note: The license number must be present
License Number:
Application Type:
or the application will be returned.
Change of Ownership
Section 2 – Elevator Owner Information (MA)
Note: This address will be designated as the "address of record" for the party responsible for licensing and operation of this elevator.
Owner Name (please check one:
Corporation
Partnership
Individual)
Street Address or Post Office Box
(US Postal Service mailing address)
City
Florida County
State
Zip Code
Primary E-Mail Address (Optional)
Primary Business Phone Number
Section 3 – Building Information (LL)
Building Name (DBA)
Elevator Nickname (DBA)
(e.g. #1, Bldg A, Atrium, etc.)
Street Address
(Enter complete US Postal Service physical street name and number for the building location)
City
Florida County
State
Zip Code
Primary E-Mail Address (Optional)
Primary Business Phone Number
Section 4 – License Mailing Information (LM)
Note: This address will be used by the department for all mailings to the elevator owner, including the certificate of operation and license
renewal notices.
Routing Name (
)
e.g., Management Company, contact name
Street Address or Post Office Box
(US Postal Service mailing address)
City
Florida County
State
Zip Code
E-Mail Address (Optional)
Primary Business Phone Number
Section 5 – Applicant Signature
Pursuant to Sections 399.03 and 399.07, Florida Statutes, the undersigned hereby applies for a Certificate of Operation for an elevator
in the building located at the address indicated. I understand the elevator owner is responsible for the safe operation, proper
maintenance, fees, annual inspection and prompt correction of code deficiencies of the elevator.
SECTION 559.79(2), Florida Statutes: 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 certificate.
Name of Authorized Applicant
Social Security Number*
Signature of Authorized Applicant
Date
* 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.
2019 August
61C-5.006, F.A.C.
Page 3 of 3
Page of 3