Dbpr Hr 7031 – Fill Out and Use This PDF

After achieving a satisfactory inspection, please allow 30 days to receive the license in the mail. You will receive a temporary license after your satisfactory inspection that will allow you to operate until the actual license arrives.

HOW TO DRAW A FLOOR PLAN

The completed drawing should be a good representation of how your establishment looks in real life or how you intend it to look when it has been built. By following these instructions, you will be able to draw an accurate, scaled floor plan yourself.

A floor plan is a measured drawing that is an exact miniature representation of your unit as seen from an overhead view and/or side view. The plan must be drawn “to scale”, which means that everything must be in the correct proportions. For example, if the unit is 20 feet long and 10 feet wide, then the length would be drawn twice as long as the width on your paper. The same is true for all of the equipment and sinks.

Begin by measuring the length and width of your unit with a tape measure as well as the lengths and widths of all equipment, etc. Note: Write down all the measurements taken on a piece of paper for future reference. If your unit does not yet exist, or you have not yet decided upon the exact equipment, your measurements will be estimates.

You may use any size graph paper, but the most common (and simple) graph paper is labeled as ¼ inch grid and is available in office supply stores. Each small square is ¼ inch long. To draw your plan “to scale”, make each ¼ inch square equal to a real life distance. For example, if you decide that 1 foot is equal to a ¼ inch square, then grill 2-feet long and 1-foot wide is drawn to cover 2 squares across and 1 square deep. Remember to show all doors and windows.

Identify all pieces of equipment with a number and create a list identifying to what each number refers. As an alternative, you may label each item like in the sample to the right. Provide two (2) copies of the floor plans to include the location of all sinks, potable and wastewater tanks, food storage areas, refrigerators, cooking equipment, work surfaces, propane tanks (if applicable), doors, windows and any other equipment present.

INSTRUCTIONS FOR COMPLETING THE MFDV PLAN REVIEW APPLICATION

SECTION 1 – OFFICE USE ONLY

This is for division office use only. Please do not complete this section.

SECTION 2 – FOOD SERVICE LICENSE TYPE

Indicate the type of license that best describes your vehicle. A mobile food dispensing vehicle is an enclosed trailer or vehicle mounted unit that contains equipment and is closed up when not in operation. A hot dog cart is an open-air vehicle that prepares frankfurters only. A theme park food cart is a specialized license that must be located in a theme park or entertainment complex. (Required)

Self-sufficient: It is important that you answer this question as it relates to the self-sufficiency of your vehicle as defined in this application packet. If you do not answer “Yes”, the division will assume your vehicle is not self-sufficient and require the commissary and water/wastewater forms. (Required)

SECTION 3 – APPLICATION INFORMATION

Application Type – indicate the type of application to be processed. For newly constructed establishments, or facilities converted from another previous usage, choose “New Vehicle(s).” For all establishments previously licensed within the last year, choose “Change of Ownership.”

License Number and Previous Business Name – for applications for change of ownership, please indicate the previous license number and previous business name if known. This information will facilitate the processing of the application.

Federal Employers Identification Number (FEIN) – required for business/corporate applicants.

Social Security Number – at least one social security number is required. Under the Federal Privacy Act, disclosure of social security numbers is voluntary unless specifically required by federal statute. In this instance, disclosure of social security numbers is mandatory pursuant to Title 42 United States Code, sections 653 and 654; and sections 409.2577, 409.2598, and 559.79, Florida Statutes. Social security numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations. Social security numbers must also be recorded on all occupational license applications and are used for licensee identification purposes pursuant to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Welfare Reform Act), 104 Pub.L.193, Sec. 317.

Sales Tax Number – required by the Florida Department of Revenue to do business. If exempt, please mark the checkbox accordingly.

Opening Date – please indicate the date the establishment will be opened for business.

SECTION 4 – OWNER AND MAIN ADDRESS

Complete this information for the establishment owner as completely as possible. Incomplete information will result in the application being delayed or denied.

Owner Name – individual person or organization that currently owns the establishment. Also, check the appropriate box indicating whether the owner is legally a corporation, partnership or individual person. For establishments owned or operated by partnerships, corporations or cooperatives, please attach a separate sheet or sheets listing the name, address, and social security number of each person who owns 10% or more of the outstanding stocks or equity interest in the licensed activity. (Required)

Routing Name – if contact name is different than the owner, please indicate in the space provided. (Optional)

Street Address or Post Office Box, City, State, Zip Code, Florida County (if applicable), Country – address of record for purpose of official communications from the department. (Required)

Phone Number – primary contact number for questions or concerns about the application. (Required)

E-Mail Address – primary contact for communications about your application.

SECTION 5 – ESTABLISHMENT LOCATION INFORMATION

Complete the establishment information as completely as possible. Incomplete information will result in the application being delayed or denied.

Establishment Name (Doing Business As [DBA]) – the name of establishment. If the establishment is part of a chain, please indicate a unique identifier (for example, Burger King #103). (Required)

Street Address, City, Zip Code, and Florida County: For mobile food dispensing vehicles that are not self- sufficient, this should be the commissary address in Florida. For mobile food dispensing vehicles which are self-sufficient, this should be the commercial water/sewer location. (Required)

Phone Number and E-Mail Address – alternate contact information if available. (Optional)

SECTION 6 – MAILING INFORMATION

This is an optional additional address for mailing if applicable. If this information is the same as Section 3 or Section 4, please indicate.

Routing Name – if correspondence should be mailed to a different name than the owner, please indicate in the space provided. (Optional)

Street Address or Post Office Box, City, State, Zip Code, Florida County (if applicable), Country – address of record for purpose of official communications from the department. (Required)

Phone Number and E-Mail Address – alternate contact information if available. (Optional)

SECTION 7 – SUPPORTING DOCUMENTS

This section is a checklist of the additional documents that you must provide with the plan review application. (Required)

SECTION 8 – PLAN REVIEW TYPE

Indicate the type of plan review requested that best describes your unit. When reopening or remodeling an existing vehicle, please provide the name of the previous owner and their license number (if known). This information will help us process your plan review faster.

SECTION 9 – GENERAL INFORMATION

Complete all information as indicated. Approved plans are valid for one (1) year. The division may grant a one-time extension up to an additional six months if requested in writing before expiration of the initial one-year approval. (Required)

SECTION 10 – SIGNATURE

Please print your name, and then sign and date the application before submitting. (Required)

When complete, please submit your application, plans, supporting documents and applicable fees to:

Department Of Business and Professional Regulation

Division of Hotels and Restaurants

2601 Blair Stone Road

Tallahassee, Florida 32399-1011

Reminder: Please use the entire 9-digit zip code in the address above to ensure proper handling. An incomplete application will result in the application being delayed or denied.

Approval of your plans means that your plans appear to meet the minimum requirements of the Division of Hotels and Restaurants. You must make sure that you meet all other requirements that apply. Plan approval does not guarantee that the division will approve the completed vehicle’s structure or equipment. See rules 61C-1.002, FAC, and 61C-1.008, FAC, for more licensing information.

Be sure to include the completed plan review application, supporting documents and fees.

You can calculate the total fee due for this application with the fee calculator available on our website at: www.myfloridalicense.com/DBPR/hotels-restaurants/licensing/food-fees/. If you are unsure of the fee, please contact the DBPR Customer Contact Center at 850.487.1395 for the correct license fee amount.

Providing complete information and paying the correct fees will help us process your application faster.

NOTE: All units are required to meet the sanitation and safety standards provided by law.

All refrigeration must maintain potentially hazardous foods at 41°F or colder. You must install thermometers in the warmest part of all refrigeration/freezer units. A probe-type thermometer that is scaled for its intended use is required for employees to check food temperatures. Be sure all thermometers are calibrated and present at the time of the opening inspection.

If you intend to have bare hand contact with ready-to-eat food, you must first have an approved Alternative Operating Procedure (AOP). DBPR Form HR 5022-049, Alternative Operating Procedure (AOP), incorporated by reference in rule 61C-4.010(1), FAC, and available on the division’s website, explains the requirements. If you do not have an approved AOP, food employees may not touch ready-to-eat foods with their bare hands. Employees in units without an AOP must use utensils such as deli tissue, spatulas, tongs, single-use gloves or other dispensing equipment.

A self-sufficient Mobile Food Dispensing Vehicle includes:

1.A three compartment sink for dishwashing;

2.A separate handwashing sink;

3.Adequate refrigeration and storage;

4.Full utilities including electrical, LP gas or a portable power generation unit;

5.Potable water holding tank; and

6.A wastewater tank in accordance with subparts 5-3 and 5-4 of the FDA Food Code.

Please check the appropriate box and provide information as applicable.

(previously licensed within the last year by H&R – please provide current license # below)

Section 4 – Owner and Main Address (MA)

Note: This address will be designated as the "address of record" for the owner of this establishment.

FOR ESTABLISHMENTS OWNED OR OPERATED BY PARTNERSHIPS, CORPORATIONS OR COOPERATIVES, please attach a separate sheet or sheets listing the name, address, and social security number of each person who owns 10% or more of the outstanding stocks or equity interest in the licensed activity and the name, address, and social security numbers* of each officer, director, chief executive, or other person who, in accordance with the rules of the issuing agency, is determined to be able directly or indirectly to control the operation of the business of the licensed entity.

DBPR HR-7031 – Division of Hotels and Restaurants Application for Mobile Food Vehicle License with Plan Review

Section 5 – Establishment Location Information (LL)

For mobile food dispensing vehicles and hot dog carts, enter the commissary address. For self-sufficient vehicles that do not use a commissary, enter the water/sewer location address.

Establishment Name (DBA)

Street Address (primary commissary address for mobile food dispensing vehicles or hot dog carts that are not self-sufficient)

Section 6 – Mailing Information (LM)

This address will be used by the department for any mailings.

Section 7 – Supporting Documents

Attach the following documents:

Scaled plan, for both new and remodeled, showing all kitchen equipment, plumbing fixtures, bars, storage areas, etc. You may submit as many sets of plans that you need stamped for local authorities.

For Hot Dog Carts and vehicles that are not self-sufficient: include DBPR HR-7022—Division of Hotels and Restaurants Commissary Notification for all commissaries to be used by this vehicle. We cannot approve the plans without the information on this form.

Section 8 – Plan Review Type

Check the box that best describes your establishment. Please check only one box.

Section 9 – General Information

Menu Information (list all foods that will be served from your vehicle)

DBPR HR-7031 – Division of Hotels and Restaurants Application for Mobile Food Vehicle License with Plan Review

Section 9 – General Information - Continued

Note: The wastewater tank must be at least 15% larger than the fresh water tank. Tanks must be a part of the vehicle.

Water Tank Size (gallons) and Location

Water Heating Device Size (gallons) and Location

Wastewater Tank Size (gallons) and Location

Vehicle Interior Finishes (for enclosed units only–for example, FRP, vinyl, painted metal, etc.)

Floor

Cove Base (Baseboards)

Walls

Ceiling

Section 10 - Signature

SECTION 559.79 (2), FS: Each application for a license or renewal of a license issued by the Department of Business and Professional Regulation shall be signed under oath or affirmation by the applicant, or owner or chief executive of the applicant without the need for witnesses unless otherwise required by law.

I certify that I am empowered to execute this application as required by Section 559.79, Florida Statutes. I understand that my signature on this written declaration has the same legal effect as an oath or affirmation. Under penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. I understand that falsification of any material information on this application may result in criminal penalty or administrative action, including a fine, suspension or revocation of the license.

Reminders:

Create your Online Account to self-print and maintain your license

If the vehicle is not self-sufficient, complete form DBPR HR-7022—Division of Hotels and Restaurants Commissary Notification for all commissaries to be used by this vehicle to store food, dump wastewater, etc. The form is available on our website: www.myfloridalicense.com/DBPR/hotels-restaurants/forms-publications/.