Dbpr Form Hr 5021 103 PDF Details

The DBPR Seating Change Evaluation Form is issued by Florida's Department of Business and Professional Regulation (DBPR), Division of Hotels and Restaurants. Any public food service establishment in Florida that plans to increase or decrease its seating capacity must submit this form first.

Form Purpose and Requirements

This seating change evaluation verifies that your food service establishment can safely support the planned change. Florida requires all food service entities to complete this review before any expansion is approved. The evaluation checks whether your sewage and fire safety infrastructure meets state requirements.

The form requests detailed information about your establishment. This includes its current seat count and the proposed seat count after the change. It also requires information about the wastewater system and a fire safety plan. Your application must be complete before the review process can begin.

Florida law 61C-1.002 governs food service establishment seating capacity changes. Establishments must meet all requirements or risk having their seating change plan denied.

Review and Inspection Process

Three Florida agencies may conduct the seating change evaluation. The Department of Health (DOH), the Department of Environmental Protection (DEP), or a Utility Authority assesses the wastewater system. In some cases, a utility authority performs the inspection instead of the DEP.

Each agency signs the form to confirm the inspection is complete. The local fire authority also conducts a fire safety review. This fire inspection covers your establishment's fire suppression plan, evacuation routes, and equipment.

Contact your local DBPR district to find out which agencies must review your application. The review process typically takes several weeks to complete. Make a plan for staying in contact with the relevant agencies throughout the process.

How to Submit Your Application

Submit the completed form to the DBPR Division of Hotels and Restaurants for your Florida region. You can mail the form or deliver it in person. Contact the DBPR to get the correct mailing address before submitting your application.

Florida law requires you to keep a copy of your application for your records. Your establishment's privacy is protected under state law. No personal or business information is shared with unauthorized entities after submission.

After the seating change evaluation is complete, the DBPR will mail results to your establishment. Instead of waiting without information, contact the DBPR district to check on the status of your review plan.

Other related DBPR food service forms are available at FormsPal: DBPR HR 7020, DBPR HR 7022, and DBPR Complaint Form.

QuestionAnswer
Form NameDbpr Form Hr 5021 103
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names5021_103 seating change evaluation form
Issuing AgencyFlorida DBPR Division of Hotels and Restaurants
PurposeSeating capacity change evaluation for food service establishments

How to Edit Dbpr Form Hr 5021 103 Online for Free

FormsPal's free PDF editor makes it easy to fill out and review the Seating Change Evaluation Form. Follow these steps to complete your Florida seating change application.

How to Complete the Form

Step 1: Click the "Get Form Here" button at the top of this page to open the PDF editor.

Step 2: Enter your establishment's name, contact information, and address. Provide the current seat count and the proposed count after the change. Review this section to confirm the information is accurate.

Step 3: Complete the wastewater evaluation section. Enter the name and contact details of the Florida DOH, DEP, or Utility Authority that will perform the inspection. Include the date, phone, and agency address.

Dbpr Form Hr 5021 103 gaps to consider

Step 4: Fill out the fire safety section. Enter the name, title, and contact details of the local fire authority. Include the planned inspection date and any comments about your fire safety plan. The fire authority signs this section after their review.

Dbpr Form Hr 5021 103 completed form fields for seating change evaluation

Step 5: Review all entries before finalizing. Check that no required fields are blank. Sign and date the form in the designated spaces. Make a copy for your privacy records before you mail the form.

Submitting and Tracking Your Application

Mail the completed form to the DBPR Division of Hotels and Restaurants for your Florida region. Instead of mailing, you may deliver it in person. Contact the DBPR to confirm the correct address for your district.

After submission, the DBPR will contact your establishment to schedule any required inspections. Keep a copy of your application and all related information for your records. Mail delivery of results typically takes several weeks after all agency reviews are complete.

Find additional Florida DBPR forms at FormsPal: DBPR HR 7007 Form and DBPR TS 6000-7 Form.

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