Fireworks Permit

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

    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.

    Date Permit Issued: ____________ Issued By: __________________________________ THIS PERMIT IS IN EFFECT FOR ONE YEAR FROM DATE OF ISSUE.

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54. Submit Submit and Print

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