I am applying for the following permit:
The new owner agrees to abide by the responsibilities of a permit holder as referenced in the U.S. Food and Drug Administration
2013 Food Code § 8-304.11.
There is an adequate supply of hot and cold water in the establishment.
There are sufficient plumbing fixtures in the establishment (i.e. hand sinks not leaking and able to provide hot and cold water.)
All plumbing fixtures are working properly (i.e. not leaking and able to provide hot and cold water.)
There is sufficient equipment to ensure that foods can be cooked to proper temperatures as referenced in the U.S. Food and
Drug Administration 2013 Food Code § 3-401.11.
There is sufficient equipment to ensure all Time/Temperature Control for Safety Food, Hot and Cold Holding can be maintained
at the temperatures as referenced in the U.S. Food and Drug Administration 2013 Food Code § 3-501.16.
All food is coming from safe sources.
All equipment is working properly (i.e. freezers, refrigerators, hoods, ovens, stoves, etc.)
There is no evidence of live insects or vermin activity in the establishment.
The following conditions do not exist and if they should happen to occur, the owner/person-in-charge shall cease operations and
contact the Department:
(a) Fire or activation of the fire suppression system
(c) Electrical or water outage
(d) Sewage backup
(e) Misuse of poisonous or toxic materials
(f) Onset of apparent foodborne illness outbreak
(g) Gross insanitary occurrence or condition
(h) Other circumstance that may endanger public health
The facility is not undergoing a major alteration or addition.
The new owner agrees not to conduct any food process where a variance or HACCP plan is required in accordance with the U.S. Food and Drug Administration 2013 Food Code §§ 3-502.11, 3-502.12, 8-201.13, 8-201.14 and Subpart 8-103 which has not been issued and/or approved by the Department.
The new owner agrees to cease operations should the time between the ownership change and the issuance of the required
permit to operate exceeds 30 days.
This field is not part of the form submission.
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