DBPR Form HR 5021-103 PDF Details

Completion of this form ensures that public food service establishments are evaluated for adequate sewage and fire services before expanding seating operations.

Section 1: establishment name, license number and address of the establishment.

Section 2: wastewater system, to be completed by DOH, DEP or Utility Authority.

Section 3: fire safety, to be completed by the local authority having jurisdiction.

QuestionAnswer
Form NameDBPR Form HR 5021-103
Form Length1 page
Fillable?Yes
Fillable fields58
Avg. time to fill out10 min
Edition2018 June
Issuing agencyFlorida Department of Business and Professional Regulation, Division of Hotels and Restaurants
Where to sendThe local Division of Hotels and Restaurants district office
Other namesHR 5021-103, HR 5021 103, DBPR HR 5021-103, DBPR Form HR 5021-103, Seating Change Evaluation
Issuing AgencyFlorida DBPR Division of Hotels and Restaurants
PurposeSeating capacity change evaluation for food service establishments
Official sourceDBPR Form HR 5021-103 (2018 June), Florida Department of Business and Professional Regulation

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