City of Temple Terrace Customer Service

2. 
3. Temple Terrace Fire Department Residential Rental Housing Permit Application
5. Risk Reduction Division
   11250 N. 56th St., Temple Terrace, FL 33617 - Phone: (813)506-6690 - Fax: (813)506-6691
7. All property owners of residential rental properties are required to complete and submit the Residential Rental Housing Permit Application and permit fee. The permit fee is $200. Failure to pay this fee may result in Municipal Code Enforcement Board action. Late fees, if any, will be assessed at that time.
11. RENTAL PROPERTY ADDRESS
13. Street Number*
14. Street Name*
15. Street Type*
16. Apt / Unit #
18. City*
19. State*
20. Zip*
24. PROPERTY OWNER INFORMATION
26. Name of Owner(s)
28. First Name*
29. Last Name*
31. First Name
32. Last Name
34. Street Number*
35. Street Name*
36. Street Type*
37. Apt / Unit #
39. City*
40. State*
41. Zip*
43. Primary Number*
44. Secondary Number (if applicable)
46. How do you prefer to be contacted at renewal time?*

    1. U. S. Mail
    2. Email
47. E-Mail*
51. PROPERTY MANAGEMENT CONTACT INFORMATION (if applicable)
53. NOTE: This local representative must be 18 years or older, available for contact 24 hours a day, regarding the rental unit. This person may be the owner, owner's agent, or any person other than the resident of the rental unit who has agreed to be the contact person.
55. Name of Manager / Agent / Contact Person
57. Same as above*

    1. Yes
    2. No
59. First Name*
60. Last Name*
62. Company Name (if applicable)
64. Street Number*
65. Street Name*
66. Street Type*
68. City*
69. State*
70. Zip*
72. Primary Number*
73. Secondary Number (if applicable)
74. E-Mail*
78. PLEASE NOTE: One permit application and fee are required for each dwelling unit. Rental Permits are non-transferable - if changes occur in Ownership, Partnership, or Management, a new permit is required. A rental housing inspection will be scheduled upon receipt of application and fee.
80. CERTIFICATIONS*

    1. Agreed

    I certify that I have provided my tenant(s) the required Guidelines for Rentals in City of Temple Terrace Residential Neighborhoods; obtain this information at http://www.fdacs.gov/Consumer-Resources/Landlord-Tenant-Law-in-Florida Consumer Protection (Florida's Landlord/Tenant Law Summary). I certify that this property is not in violation of the City's Minimum Housing Code; and that at no time shall more than three (3) unrelated persons reside within this rental dwelling. I further certify that the information given in this application is complete and accurate, and I understand that to make false or fraudulent statements within this application may result in denial of permit and possible legal action. If granted a permit, I agree to operate within the city and state laws, and to notify the City if there are any changes to the information provided in this application. I also certify that I am the property owner or owner's legal agent. Copy of the Residential Rental Housing Permit program brochure is available at www.templeterrace.gov.

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82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit

* indicates a required field