Form Dacs 14221 PDF Details

Did you know that the Department of ACES (formally known as DACS) offers free online resources to help businesses? If you have a business in Arizona and would like to find out more about the programs and services offered by the Department of ACES, be sure to check out their website! You can also call their helpline for assistance. This blog post will give you a brief overview of the different services offered by Dacs 14221. Stay tuned for future blog posts that will go into more detail about each service. Thanks for reading!

QuestionAnswer
Form NameForm Dacs 14221
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespermit, application, Florida, fresh from florida printable renewal application

Form Preview Example

Florida Department of Agriculture and Consumer Services

 

Division of Food Safety

Bureau of Food and Meat Inspection

 

 

Attention: Records Section

 

REQUEST FOR INITIAL INSPECTION AND

3125 Conner Boulevard C-26

 

FOOD PERMIT APPLICATION

Tallahassee, FL 32399-1650

ADAM H. PUTNAM

F.S. Chapter 500

 

COMMISSIONER

 

(850) 488-3951

 

 

 

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.

 

 

INFORMATION ABOUT THE LOCATION TO BE PERMITTED

 

 

 

 

( ) New Business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

 

 

 

County

 

 

 

Business Type

Brief description of the type of business: (ex: retail bakery, convenience store, warehouse, etc.)

 

 

Location Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

Phone Number

 

 

Ext.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION ABOUT THE OWNER

 

 

Name of Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Type

 

( )

Corporation

( )

Sole Proprietor

( )

Partnership

( )

Trust

( )

Charitable

( )

Other:

 

 

 

Phone Number

 

 

 

 

 

Ext.

 

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

Title

 

 

 

 

Opening Date: ____________________________

DACS-14221 6/05