Aeronautical Service Operator Application

APPENDIX “B
APPLICATION PERMIT
FIXED BASE OPERATOR
SPECIALIZED AERONAUTICAL SERVICES OPERATOR
1. COMPANY INFORMATION – (name and contact information for the company)
Name & Title
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Cell
Other
1.1 Upload or provide evidence of incorporation in the State of Florida. Flight Instructors upload a copy of FAA certificate.

1.2 Upload or provide a list of the names, addresses and telephone numbers of the principal(s) of the business having an interest equal to 51% or more of the assets or earnings of the operations.

1.3 Upload or provide resumes for the key personnel.
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1.4 Provide the proposed commencement date for operations and the proposed term.
2. COMPANY 24 HOUR EMERGENCY CONTACT
Name & Title
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Cell
Other
Place a check in the box provided below for the aeronautical services that the applicant is requesting to provide at Orlando Executive Airport. Applicant must submit all necessary back up information proving it meets the minimum standards for the aeronautical services it is applying to provide.
4. COMPANY FINANCIAL BILLING CONTACT(S)
Name & Title
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Cell
Other
Name & Title
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Cell
Other
Upload or provide insurance certificate.
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Please provide the name, address and telephone number of an airport employee who supervised or is otherwise familiar with your activities at each airport where you operated during the past three (3) years (attach additional sheets as necessary):
Reference 1
Contact Person
Company
Title
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Other
E-mail address
example@example.com
Reference 2
Contact Person
Company
Title
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Other
E-mail address
example@example.com
Reference 3
Contact Person
Company
Title
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Other
E-mail address
example@example.com
7. Upload or provide a narrative of the detailed services to be offered including evidence of applicants past experience providing similar services at a similar airport, financial capability, and technical ability to perform and/or develop the proposed services and facilities, a statement of projected gross revenues and operating expenses for each of the first five (5) years of the proposed operations at the Airport, the number of persons to be employed along with a description of their duties and responsibilities, and the tools, equipment, and inventory, if any, that applicant will furnish for the proposed service.
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8. Upload or provide a site plan and other documentation including the amount of land required for the proposed service and any buildings or other facilities proposed to be constructed or facilities required, a detailed site plan for the proposed operations, the estimated cost of any structure or facilities to be constructed or furnished, proposed specifications, and the means and method of financing such construction.

9. Upload or provide any additional documentation required based on your selection in SECTION 3 – PROPOSED SERVICES. For example:

a.Banner Tower will require the information requested above as well as Exhibits “E” &

b. Airship Mooring will require the information requested above as well as Exhibits “G”

ADDITIONAL INFORMATION (items a & b are not applicable for Flight Instructors)

a. providers will be renewed on an annual basis and shall contain a thirty (30) day cancellation clause by either party to the agreement.

As a general rule, Permit Agreements for Specialized Aeronautical Service

b. The following items must be on hand prior to start of operations:

A fully executed Permit Agreement with the Greater Orlando Aviation Authority A security deposit Proof of insurance (Insurance Certificate) as required by the type of agreement

c. relevant application fee* and any additional information or materials requested by the AUTHORITY, to:

Submit or return this completed application, along with the items listed above, the
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Orlando Executive Airport Director of General Aviation 365 Rickenbacker Drive Orlando, Florida 32803
Signature
Print Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
*NOTE: Application fee must be submitted by mail or in person to the address provided above. Appendix “B
Please verify that you are human
Should be Empty:

APPENDIX “B

APPLICATION PERMIT

FIXED BASE OPERATOR

SPECIALIZED AERONAUTICAL SERVICES OPERATOR

Reference 1

Reference 2

Reference 3

Orlando Executive Airport Director of General Aviation 365 Rickenbacker Drive Orlando, Florida 32803