Embarking on the venture of operating a food-related business in Florida demands compliance with specific regulatory framework established by the Florida Department of Agriculture and Consumer Services, specifically through the Division of Food Safety. This essential oversight is encapsulated in the Dacs 14221 form, a critical document for anyone aiming to engage in manufacturing, processing, packing, holding, or preparing food, as well as those selling food at both wholesale and retail levels. This form serves as a two-fold tool: a request for an initial inspection and an application for a food permit, vital steps in ensuring public health and safety. The categories covered under this application are broad, encompassing prepackaged grocery items, prepared foods, packaged ice, bottled or vended water, candy, snack foods, soda, infant formula, and even dietary supplements. This inclusivity underscores the form’s pivotal role in the regulatory landscape of Florida’s food industry, guiding businesses from a variety of sectors like retail bakeries, convenience stores, warehouses, etc., through the necessary channels to secure an Annual Food Permit. Accuracy and thoroughness in providing information about the business location, the owner, and operational details are paramount, as these elements lay the groundwork for a successful inspection and subsequent permit acquisition.
| Question | Answer |
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| Form Name | Form Dacs 14221 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | permit, application, Florida, fresh from florida printable renewal application |
Florida Department of Agriculture and Consumer Services
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Division of Food Safety |
Bureau of Food and Meat Inspection |
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Attention: Records Section |
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REQUEST FOR INITIAL INSPECTION AND |
3125 Conner Boulevard |
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FOOD PERMIT APPLICATION |
Tallahassee, FL |
ADAM H. PUTNAM |
F.S. Chapter 500 |
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COMMISSIONER |
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(850) |
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The Department of Agriculture and Consumer Services is the exclusive regulatory and permitting authority for any person, business or corporation engaged in manufacturing, processing, packing, holding or preparing food or selling food at wholesale or retail. For purposes of this application, food is considered to include, but is not limited to, all prepackaged grocery items, prepared foods, packaged ice, bottled or vended water, candy and other snack foods, soda, infant formula, vitamin and mineral dietary supplements.
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INFORMATION ABOUT THE LOCATION TO BE PERMITTED |
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( ) New Business |
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Business Name |
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County |
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Business Type |
Brief description of the type of business: (ex: retail bakery, convenience store, warehouse, etc.) |
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Location Address |
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City/State/Zip |
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Phone Number |
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Ext. |
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INFORMATION ABOUT THE OWNER |
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Name of Owner |
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Business Type |
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Corporation |
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Sole Proprietor |
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Partnership |
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Trust |
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Charitable |
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Other: |
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Phone Number |
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Ext. |
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Mailing Address |
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City/State/Zip |
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Federal Employers Id (FEIN)
Sales Tax Number
Please provide all of the information requested above and submit to the address on this form. You will be contacted to schedule an inspection which is required prior to issuance of an Annual Food Permit.
Name of Applicant |
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Title |
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Opening Date: ____________________________ |
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