City of Temple Terrace Customer Service

2. 
3. Temple Terrace Fire Department Fireworks Permit
5. Personal Information:
7. First Name*
8. Last Name*
10. Address1*
12. Address2
14. City*
15. State*
16. Zip*
18. Contact Number*
20. Location where only legal fireworks will be sold: (Retail Locations)
22. Location / Business Address:*
24. City:*
25. State:*
26. Zip:*
28. Business Phone Number*
30. Email Address
32. Who is the wholesaler/distributor?*
    Please attach copies of County and State Occupational Licenses for wholesales/distributor
34. Upload File
36. Hillsborough County Occupational License
37. City of Temple Terrace Occupational License
39. State of Florida Sales Tax Certificate
40. State Fire Marshal's Certificate of Registration
42. Contacts in case of emergency:
44. Name*
45. Contact Number*
47. Name*
48. Contact Number*
50. RETURN BY EMAIL OR MAIL TO: TTFD, 11250 N. 56th Street Temple Terrace, FL 33617
52. For Office Use Only
    Date Permit Issued: ____________ Issued By: __________________________________ THIS PERMIT IS IN EFFECT FOR ONE YEAR FROM DATE OF ISSUE.
Leave This Blank:


54. Submit Submit and Print

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