COPCN Application - Polk County BoCC 2025

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The document is an application form for obtaining or renewing a Certificate of Public Convenience and Necessity (COPCN) to provide emergency and non-emergency medical transportation services in Polk County, Florida. It outlines the required information from the applicant, including business details, service types, geographical areas served, staffing, equipment descriptions, compliance with regulations, and operational procedures. The application also includes terms of service and a fee requirement.

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Click ‘Get Form’ to open the COPCN Application in the editor.
Select the type of application you are submitting: Initial or Renewal. Fill in your business name, address, and contact information accurately.
List all owners, partners, operators, and board members along with their daytime phone numbers in the designated section.
Indicate the level of service you wish to provide by checking the appropriate boxes for Basic Life Support or Advanced Life Support options.
Describe the geographical area where services will be provided and state the demand for these services in that area.
Detail the equipment you will utilize and complete any attached vehicle roster as required.
Ensure compliance documentation is attached, including necessary licenses and proof of insurance.
Review all sections for accuracy before signing and dating the application at the end.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How long does it take to get a building permit approved in Florida?

Do I need a permit? Less than 10 square metres (108 square feet) Not attached to a house or any other building. Not connected to electricity, plumbing, or gas lines. Meets the following height and location criteria: Roof midpoint is no higher than 4.3 metres (14.1 feet)

How many fire stations does Polk County have?

Permitting online through the Polk County Access Portal. Submittal of digitally-signed and sealed plans uploaded through the Access Portal permitting system. Customer assistance with permitting questions by phone at (863) 534-6080 or by email at BuildingDivision@polk-county.net.

Does Polk County require a building permit?

Work that requires an inspection to verify compliance with the applicable technical code requires a construction permit. Separate electrical, mechanical or plumbing permits may be required even if a building permit is not required.

How much is a building permit in Polk County, Florida?

Generally a permit usually costs $25.00 for the first $1,000 of construction and $5.00 additional for every additional $1,000 of construction costs. This is in addition to the administration fee and any other fees which may occur for new construction. Normally a permit for $1,000 worth of construction will be $50.

How do I request records from Polk County Sheriffs Office?

The Polk County Board of County Commissioners hours of operation are 8 a.m. to 5 p.m. Monday through Friday. Our contact phone numbers include: Main Switchboard: (863) 534-6000.

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How do I get a building permit in Polk County?

Public Records Requests Once the form is filled out simply send it to the Polk County Sheriffs Office Records Management Bureau by email: recordsrequest@polksheriff.org; in person at 1891 Jim Keene Blvd, Winter Haven, FL, 33880, or at any PCSO substation. Records can be docHubed at 863-298-6300.