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City of Oldsmar Restaurant Affidavit

  1. As a basis for the City of Oldsmar to issue a Business Tax Receipt in accordance with Ordinance 89-10 and subsequent amendments, the undersigned hereby affirms that the total seating capacity in the restaurant to be taxed by the City during the preceding twelve months is:
    Notice: To obtain an Oldsmar Business Tax Receipt classified as a restaurant, you must submit an Inspection Report from the Division of Hotels and Restaurants located at 1313 Tampa Road, Tampa, Florida. The phone number is (813) 272-2200. The Division will accept applications for inspections in person, by mail, or by facsimile at (813) 272- 3344.
  2. Upload current license issued by division of Hotels and Restaurants
  3. Number of Seats and Corresponding Fees
  4. By typing your name here, you are signing this form electronically. You agree you are submitting this affidavit for processing and is the legal equivalent of your manual signature on this form. You must be the legal business owner or authorized agent which match our registration records. Note: A notarized Letter of Authorization is required for an agent to sign the application or any other correspondence that calls for an agent signature.
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