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Hillsborough County Locksmith Business Services LicensingApplication and Important InformationLocksmith Business Services operating in Hillsborough County must apply for a license prior to conducting business inHillsborough County. The Locksmith Services Businesses Ordinance applies to those Locksmith services that operate inunincorporated Hillsborough County, City of Tampa, Temple Terrace, and Plant City. Locksmith Business Services Ordinance – Read and review Hillsborough County Code of Ordinances, Part A, Chapter 10,Article XIII. The business owner and all employees are covered by the ordinance and should be familiar with the ordinancerequirements, the ordinance can be found on our gh county/codes/code of ordinances, part a?nodeId HICOCOORLA CH10BUARTXIIILOSEBU Fees – Each biennial application for Hillsborough County Locksmith Business Services License requires a fee determined bythe number of employees employed by the business applying for the license.Bi-Annually RequiredLicenseLocksmith Application(1-5 employees)Locksmith Application(6-10 employees)Locksmith Application(11 or more employees)Fee 500.00 750.00 1,000.00CommentFee is non-refundable and includes associatedbackground check, inspection and placardFee is non-refundable and includes associatedbackground check, inspection and placardFee is non-refundable and includes associatedbackground check, inspection and placardPayments can be made by CREDIT or DEBIT CARD online at the following ent/departments/codeOther methods of payment are Cashier’s Check, Money Order, Escrow or Trust Account Checks, madepayable to BOCC or “Board of County Commissioners.”Payments should be mailed to:Hillsborough County CenterCitizen Boards Support601 E. Kennedy Blvd.,18th FloorCounty Center, Tampa, FL, 33602For your convenience, a payment drop box is also available in the lobby of the 18th Floor*** NOTE: No Personal Checks Accepted *** List of Employees – “Section C” of the application must be used to list all employees. The applicant must submit a listof all persons associated with the management or operation of the locksmith services business. This list includes, but is notlimited, to all owners, operators, and employees.

FDLE Background Checks – The owner and all employees of the Locksmith Business Services who perform locksmithservices as defined in the ordinance must undergo a background check. Those owners/employees not local to the area butin the State of Florida must submit electronically scanned fingerprints to the Florida Department of Law Enforcement. Inorder for Regulatory Compliance to receive the results, the Regulatory Compliance ORI number must be provided at thetime of submission. Out of state owners must submit a copy of a criminal history from their state of residence. Liability Insurance – A locksmith services business must maintain current and valid commercial generalliability insurance coverage of at least 500,000 per incident for loss or damages resulting from the negligence of thelocksmith services business or any person it employs to perform locksmith services, other employees or agents. “Section F” – This section must be completed if the locksmith services business employs any person who has residedoutside of the State of Florida in the past seven (7) years. Photo Identification Cards – Each locksmith services business shall issue a photo identification card to each personemployed by the licensee to perform locksmith services on its behalf. All such photo I.D. cards must include the name andphotograph of the person as well as the name and license number of the locksmith services business. Each personemployed by the licensee to perform locksmith services on its behalf must display the photo identification card on his orher person at all times while performing locksmith services. Sworn and Notarized Statement – The owner of the locksmith services business must provide a sworn and notarizedstatement attesting to the veracity and accuracy of the information provided in the application.The printable application for Locksmith Business License” may be downloaded ocksmith/locksmithapplication--print.pdfThe fillable application for Locksmith Business License” may be downloaded ocksmith/locksmithapplication-fillable.pdfThe “Application for a Locksmith Business Services License” may be downloaded on our webpage. The application must betyped or printed legibly, and all sections completed. Any incomplete sections will delay processing and will cause theapplication to be returned or denied. After completing the application, save it and submit as an email attachment to IsaacRuffin at [email protected] and mail original to: Regulatory Compliance, C/O Isaac Ruffin, 2709 E Hanna Ave,Tampa, FL, 33602.

HILLSBOROUGH COUNTYLOCKSMITH BUSINESS SERVICES LICENSE APPLICATIONInitial License ApplicationAdding LocationRelocation of Physical Business LocationChange of OwnershipOther:Renewal – HCLOC License #SECTION A: BUSINESS OFFICE INFORMATION:1. Corporate or Legal Name of Business:2. Fictitious Name or Doing Business As:3. Primary Physical Address:3a. Additional Locations:4. Mailing Address:5. Business Telephone Number(s):6. Business Fax Number(s):7. Name of Business Designated Contact:Designated Contact’s Email Address:*NOTE – Correspondence from Hillsborough County regarding the application and license will be sent to this email address.8. Florida Department of Revenue Sales Tax Certificate number (If applicable):9. Does the business have a current, valid Hillsborough County or other applicable business tax receipt?YesIf yes, provide account number on certificate here:SECTION B: BUSINESS OWNER INFORMATION:1. Business Owner Name:2. Business Owner Address:3. Business Owner Phone Numbers: HomeCell:4. Business Owner Email Address:Page - 1 - of 4No

SECTION C: LOCKSMITH SERVICE EMPLOYEE INFORMATION:(Please refer to Article XIII Section 10-435 to determine which offenses are considered disqualifying felonies.)Owner & Employee’sNameDate ofBirthHome AddressConviction/Guilty or nolocontendere pleato disqualifyingfelonyDoes NYNYNYNYNYNYNYNYNYNYNYNYNYNYNYNYNYNYNYNYNYNIf Yes was checked for criminal convictions or pleas, use this section to explain the convictions or pleas.Name of EmployeeDate ofConviction(s)Location(s)Charge(s)Page - 2 - of 4AdjudicationSentence

SECTION D: LIABILITY INSURANCE ATTESTATION:As the owner of a locksmith business services, I am aware that my business must maintain current and validcommercial general liability insurance coverage of at least 500,000 per incident for loss or damages resulting fromthe negligence of the locksmith services business or any person it employs to perform locksmith services, otheremployees, or agents. I am also aware that I must provide proof of coverage to the Hillsborough CountyCode Enforcement Department, Regulatory Compliance.SECTION E: BUSINESS OWNER AUTHORIZATION AND CERTIFICATION:Pursuant to Hillsborough County Locksmith Business Services Ordinance, I understand and agree that I may beasked to provide additional information once my application has been reviewed as a requirement to the issuance ofa locksmith license. I also agree to keep records associated with this application available for inspection by the CodeEnforcement Department, Regulatory Compliance upon request. Once a license has been issued, I agree toprovide any supplemental information that may be requested by the Code Enforcement Department, RegulatoryCompliance and to update the locksmith license application within ten (10) days of any changes to the informationin this application.Having been duly sworn, I certify that the foregoing statements are all true, complete and accurate. Iunderstand and agree that any false, misleading, inaccurate, or incomplete statements and/or attachmentsmay result in the denial or revocation of a Locksmith Business Services License.Business Owner SignaturePrint Name(before a notary)Notary Certification:Sworn to (or affirmed) and subscribed before me thisday of, 20, who is personally known to me or who has producedas identification and did take an oath.Notary SignatureNotary Seal:Printed Name of NotaryPage - 3 - of 4, by

SECTION F: ADDITIONAL LOCKSMITH SERVICE EMPLOYEE INFORMATION:Complete this section only if the locksmith services business employs a person who has resided outside of the State ofFlorida within the past seven (7) years.1. Employee Name:2. Previous Address:City, State, Zip:3. Length of Time Residing at Address:1. Employee Name:2. Previous Address:City, State, Zip:3. Length of Time Residing at Address:1. Employee Name:2. Previous Address:City, State, Zip:3. Length of Time Residing at Address:1. Employee Name:2. Previous Address:City, State, Zip:3. Length of Time Residing at Address:1. Employee Name:2. Previous Address:City, State, Zip:3. Length of Time Residing at Address:1. Employee Name:2. Previous Address:City, State, Zip:3. Length of Time Residing at Address:1. Employee Name:2. Previous Address:City, State, Zip:3. Length of Time Residing at Address:Page - 4 - of 4

- A locksmith services business must maintain current and valid commercial general liability insurance coverage of at least 500,000 per incident for loss or damages resulting from the negligence of the locksmith services business or any person it employs to perform locksmith services, other employees or agents.