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HomeMy WebLinkAboutZoning Compliance Mobile Food Vendor 2 (3) Description of A.Mobile Food Dispensing Unit Any food service establishment that is self propelled,or otherwise moveable from place to place,that is self contained and does not use electrical or other utility connections of any kind,in which food is prepared and/or dispensed,and that complies with all applicable requirements set forth by the Florida Department of Business Regulations,division.of Hotels and Restaurants,or its successor.agency, including but not limited to those regulations set forth in Rule 7C-1.03,Florida Administrative Code. Property Owner Information:k.�1)R0 -�i �-- 1 r\� f�m`S I (�l11�iJ I tzq mx-2 IW\b=R— Name: 1®�'\OO ����1\��� LC. Phone No: Address: \0\00 Is ,Avk)Y State: �--, Zip Code: 3 H Date:. I;Cly,\S 11 e • �V���� J ,owner of the following described property,authorize. �1.tPIS to place a mobile food/produce unit on my property. Property Tag Identification Legal Description:SA\NUlC1 AAaetJqO '1 '`4® `\{ Lly 01 -A) LQ Property Owner's Name(Please Print) .Property Owner's Signature State of Florida,County of The foregoing instrument was-acknowledged before me this ` day of nom' 20� who is personally known to me Vor who has produced as identification. �� X111 (Seal) Signature of Nota' Type or.print Name of Notary Title: Notary.Public Commission Number: �wnr ,J SKIilE, SLCPDS Revised 05/19/2010 OEBiifl ;i°��v � Notary Puille-.state of Florida •. Commission#FF 215264 My Comm.Expires Mar 30,2018 •' °� Bonded though National Notary Assn St. Lucie County Requirements for Mobile Food Vendors.Class H This information sheet is presented as an aid to assist you in obtaining a zoning clearance before securing an occupational license. If you have any questions,you are welcome to ask our staff in the St.Lucie County Building&Zoning Department. In order to obtaina zoning compliance,please complete the application and all other forms included. Mobile Food Vendors are permitted in the commercial General(CG),Industrial Light(IL),Industrial Heavy (114),and Industrial Extraction(IX)zoning districts. The following information is necessary when applying for a zoning compliance: 1. Written permission from the property owner to have a mobile food unit on the subject property. 2. A plot plan of the property with dimensions. Include the location of the mobile food unit as well as any other structures on the property. a. Setbacks to the mobile food units from the property lines. Setbacks must comply with the zoning district in which the unit is.located. Zoon District— --fronts Rear Side Side Corner - II. 25' 20'-- f6' 20' IH 50' 40' 30' 50' IX ... 50' 40' 30' 50' b. Parking and Landscaping. Parking and landscaping must comply with the St.Lucie County Land Development Code. Parking is based on 5 spaces per 1,000 square feet of floor area. The parking•area'or other vehicular use area must be screened from abutting-rights-of-way and abutting properties (The landscape strip abutting a right-of-way must be 15' for every 30 linear feet. Other landscaping may be required per.section 7.09.04 of the St.-Lucie County Land Development Code.) 3. A building permit application.and plans fora sign, if applicable. a. Generally,one ground sign may be permitted per parcel subject to compliance of section 9.01.01F of the St.Lucie County Land Development Code. If the mobile food unit is on the same property with another business that already has a ground sign,then the mobile food unit may not be permitted to have its own ground sign. b. One wall si ,eual to20%of a total wall face area of.one side of the mobile food unit facie the nstr;ejt�ri}Y�` er 9 � mittec sulijp&to the compliance with the provisions of section MU 9.0 .U1 ;oef;heSt'.xc�etyarid; eeloppnnent Code. q .. Detail by Entity Name Page 1 of 2 tAb�RIDA DEPARTMENTOF40 s 3 Detail by Entity Name Florida Limited Liability Company 10-100 HOLDINGS, LLC Filing Information Document Number L02000009645 FEI/EIN Number 75-3049267 Date Filed 04/18/2002 Effective Date 04/20/2002 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 06/11/2010 Event Effective Date NONE Principal Address 10100 S. FEDERAL HWY PORT ST. LUCIE, FL'34952 Changed: 04/30/2010 Mailing Address 10100 S. FEDERAL HWY PORT ST. LUCIE, FL 34952 Changed: 04/30/2010 Registered Agent Name &Address WILLIAMS, CHRISTINE L 10100 S. FEDERAL HWY PORT ST. LUCIE, FL 34952 Name Changed: 04/30/2010 Address Changed: 04/30/2010 Authorized Person(s) Detail Name &Address Title MGRM WILLIAMS, CHRISTINE L http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 11/23/2015 Detail by Entity Name Page 2 of 2 10100 S FEDERAL HWY PORT ST LUCIE, FL 34952 Annual Reports Report Year Filed Date 2013 04/30/2013 2014 03/28/2014 2015 04/08/2015 Document Images 04/08/2015--ANNUAL REPORT View image in PDF format 03/28/2014--ANNUAL REPORT View image in PDF format 04/30/2013--ANNUAL REPORT View image in PDF format 03/22/2012--ANNUAL REPORT F777View image in PDF format 02/24/2011 --ANNUAL REPORT F View image in PDF format 06/11/2010 -- LC Amendment View image in PDF format 04/30/2010--ANNUAL REPORT F View image in PDF format 02/03/2010--ADDRESS CHANGE View image in PDF format 01/28/2010 -- CORLCMMRES F777View image in PDF format 01/28/2010-- Reg. Agent Change F View image in PDF format 05/28/2009 -- Reg. Agent Change F View image in PDF for 03/21/2009--ANNUAL REPORT F77View image in PDF format 01/12/2008--ANNUAL REPORT F View image in PDF format 04/12/2007 --ANNUAL REPORT F777View image in PDF format 03/27/2006 --ANNUAL REPORT F View image in PDF format 04/30/2005 --ANNUAL REPORT F View image in PDF format 03/16/2004--ANNUAL REPORT View image in PDF for 05/19/2003 --ANNUAL REPORT View image in PDF format 04/18/2002-- Florida Limited Liabilites View image in PDF for Convrighl:@ and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 11/23/2015 Plow Lot size dimensions , US , Lot size dimensions Street Name: ■■,08owns asong awas 0.■0Nuiai200O's Mae asuffaw0gas N.wa5.rr:awtrMOiMrsri'swundownsums000ameMena 0soon Office Use Only Properly.dimensions Location:of Existing Structures'and Ground Signs �! Location of Mobile Food Facility and Setbacks to Property Line -� Parking. Landscaping SLCPDS Revised 05/19/2010 .Sam. National ServSafe Association T. rv. - fe . .CERTIFICATION JOSEPH Z E L L N E R --" -�------� r � _- for successfully completing the standards set forth for the ServSafe®Food Protection Manager,CEAfication Examination, which is accredited by the American National Standards Institute(ANSI)-Conference for'Food Protection(CFP). ' t 535961 4889 RT I A UMBER EXAM FORM NUMBER 11/1 013 11/18/2018, DATE OF E A I A 10 DATE OF EXPIRATI`O•N__ Local laws apply.Ch ith your local ragu ►«y ency for recertification requirements. w- y She B n urant Ats -at on lotions #10655 In accordance with Maritone lnbou 30$ ($2015 National AA logo ma trademarks of the NRAEF. Nati •aN A Contact us Qh questions at 175 W Jodcwn Blvd.Ste 1500,Chicago,L 60604 or ServSafe@reska nt.omg. i i STATE OF FLORIDA DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION www.myfloridalicense.com Food Service Inspection Report This inspection report must be made public upon request per Florida law. Met Inspection Standards during this visit ANY VIOLATIONS noted herein must be corrected by the NEXT UNANNOUNCED inspection unless otherwise stated. Inspection Date: Nov 18,2015 09:45-Nov 18,2015 10:34 License Expiration: License Number: Rank: Inspection Reason: Food-Licensing Inspection Owner Name: ZELLNER IV,JOSEPH Business Name: BROTHERS'O Location Address: 3830 NE INDIAN RIVER DR License Type: Mobile Food Dispensing Vehicle JENSEN BEACH FL 34957 Telephone Number. Number of Units: 0 Reinspection on or After: FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS 01A Food obtained from approved source IN 07 Unwrapped or PHITCS food not re-served IN 01B Food safe and unadulterated;sound condition IN 08A Separating raw animal foods from:each other,RTE foods and N10 unwashed produce 01C Shelistock tags:commingling NIA 08B.Food protection during preparation,storage and display N10 01D Parasite destruction for raw/undercooked fish NIA 09 Bare hand contact with RTE food;Alternative Operating IN Procedure(AOP) 02A Consumer advisory on raw/undercooked oysters NIA 11 Employee health knowledge;iNsymptomatic employee IN present 02B Consumer advisory on raw/undercooked animal foods NIA 12A Hands clean and washed properly;use of hand antiseptic if IN use of AOP 02C Date marking ready-to-eat(RTE)potentially hazardous I time/ N/O 12B Employee eating,drinking,tasting food,smoking IN temperature control for safety foods 03A Receiving and holding PH/TCS foods cold IN 22 Food contact surfaces clean and sanitized IN 03B Receiving and holding PHITCS foods hot IN 31A Handwash sink(s)installed,accessible,not used for other IN purposes 03C Cooking raw animal foods and plant foods;non-continuous NIO 31B Handwashing supplies and handwash sign provided IN cooking of raw animal foods 03D Cooling PHITCS foods;proper cooling methoas N/A 41 Chemicals/toxic substances IN 03E Reheating PHITCS foods for hat holding N/O 53A Food manager certification;knowledge/active managerial IN control(except employee health) 03F Time as a Public Health Control NIA 53B State approved food handier training;employee duty specific IN training/knowledge 03G Reduced oxygen packaging(ROP)and other Special NIA Processes GOOD RETAIL PRACTICES 02D Foca items properly labeled;original container 35A No presence or breeding of insects/rodents/pests;no live animals 04 Facilities to maintain PHITCS foods at the proper temperature 35B Outer openings protected from insects/pests,rodent proof 05 Food and food equipment thermometers provided and 36 Floors,walls,ceilings and attached equipment properly accurate constructed and clean;rooms and equipment property vented 06 PHITCS foods properly thawed 38 Lighting provided as required:fixtures shielded or bulbs protected 10 In use food dispensing utensils properly stored 140 Employee personal belongings 13 Clean clothes;hair restraints;Jewelry;paintedfartificial 42 Cleaning and maintenance equipment fingernails 14 Food-contact and nonfood contact surfaces designed, 43 Complete separation from living/sleeping area/private constructed,maintained,installed,located premise;kitchen restricted-no unauthorized personnel 16 .Dishwashing facilities;chemical test kit(s);gauges OUT 45 Fire extinguishing equipment(FOR REPORTING 1.Wash 2.Rinse 3.Sanitize PURPOSES ONLY) Novembor 18,2015 at 10:34:42 AM EST Location:BROTHERS'O Food Service Inspection Report License Al., DBPR from HR 5022-015•Rula 810.1.002,FAC Inspector:Petrov,Michael Software version 4.22 Page: 1 or 3 STATE OF FLORIDA DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION www.myfloridalicense.com 21 Wiping cloths;clean and soiled linens;laundry facilities 46 Exits not blocked or locked(FOR REPORTING PURPOSES ONLY) 23 Non-food contact surfaces clean 47 Electrical wiring/outlets in good repair(FOR REPORTING PURPOSES ONLY 24 Storage/handling of clean equipment,utensils;air drying 48 Gas appliances:boiler certificate current/posted(FOR REPORTING PURPOSES ONLY) 25 Single-service and single-use items 149 Flammable/combustible materials(FOR REPORTING PURPOSES ONLY) 27 Water source safe,hot(100F)and cold under pressure 50 Current license,properly displayed 28 Sewage and waste water disposed properly 51 Other conditions sanitary and safe operation 29 Plumbing installed and maintained;mop sink;water filters: 52 Misrepresentation:misbranding backflow prevention 32 Bathrooms 154 Florida Clean indoor Air Act Compliance 33 Garbage and refuse;premises maintained 1 155 Automatic Gratuity Notice Items marked IN are in compliance.Items marked OUT are violations.Specific details of the violations are listed on subsequent pages.Items marked N/A are Not Applicable.Items marked as N/O are Not Observed and were not being conducted at the time of inspection. FOOD TEMPERATURES Bar Area Buffet Lina Cook Line Front Counter Front Line Kitchen Prep Area Reach In Cooler Ambient 38f no foods Reach In Freezer Steam Table/Bain Marie Water 194f 206f no foods Storage Area Watt Station Walk In Cooler Walk In Freezer Cooking Cooling Reheating OTHER ITEMS CertMed Food Manager and Date Certified: Joseph Zel)ner 11/13-18 Manager Certified By: National Restaurant Association Educational Foundation•ServSafe Employees Trained By: Sewage: MunicipalfUtUity Water Source: Municipal Boiler: No Boller an Site Boller Jurisdiction and Expiration: Sanitizer Detalis: Chlorine three compartment sink not set up.Quat three compartment sink not set up. November 18,2015 at 10:34:42 AM EST Location:BROTHERS'O Food Service Inspection Report Leena W. nBPR Farts HR 5922-015-Rule fit C-1.002,FAC Inspector.Pam..Mlchaef Software VwWon 4.22 Page:2.13 STATE OF FLORIDA DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION www.myfloridalicense.com Inspector Comments: Risk level changed to(1),operator cooks raw animal foods but does not cool down any cooked foods. Alink to the Florida Department of Agriculture's Food Recovery Resource Guide Is located at http:/Jwww.rnyfloddalicenre.com/dbpr/hrifonsihr-publicaUons.html This report has been provided in printed form as requested by the person in charge at the time of Inspection. VIOLATIONS 18.34.4 Observed:14o quaternary ammonium chemical test kit provided when using quaternary ammonium chemical sanitiser at three- compartment sinkfwarewashing machine. Prlority:intermediate Slawtwe of Reelplent Inspector Slgmtun Joseph Zallner Mika Peaow Pic Sanitation And Safety Specialist Brolhars'q 5080 Coconut Creek Pkwy Suite A, 484.619.1488 Margate,FL 33063 Nov 18,2015 10:33 850.487-1385 Nov 18,2015 10:34 November 18,2015 at 10:34:42AM EST LocaBom BROTHERS'O Food Service Inspection Report Ucama ffi: DBPR Fomf HR 5022-015-Rule 61C-1.002,FAC Inspector:Petrmv,Michael SoMvare version 4.22 Page:3 of 3 STATE OF FLORIDA DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION www.myfloridalicense.com RECEIPT FOR UCENSE LICENSE NUMBER: Rank: LICENSE TYPE:2014/Mobile Food Dispensing Vehicle PRINT DATE:Nov 18,2015 10.29 FILE NUMBER:37409 Seats/Units:0 This verifies that ZELLNER IV,JOSEPH Doing business as BROTHERS'Q has met the requirements for Mobile Food Dispensing Vehicle licensure to operate at: 3830 NE INDIAN RIVER DR JENSEN BEACH FL 34957 This Is authorization to operate for 30 days.An annual license will be mailed to the address on record within that period. Inspector Signature Mike Petrow Sanhation ArM Safety specia8at 9080 coconut creek Pkwy Suhe A. Margate,FL 33003 850487.1395 Nov 18.2016 IM NovuMor 18,2015 at 1029:26AM EST Loc'atiom eAOTHF32S'Q Temporary License License M Inspector:Peumv,Michael Software Version 422 Page:1 of 1 Authorized Letter Shell Bazaar 10100 S. Federal Hwy Port St. Lucie 34952 (172).335-5616 \® -\oO �cC ` gs Ll. I, Nms-\-Niue.v owner of the.following described property authorize Bkot\�-eRs ' C to place a mobile food/produce unit on my property. Property Owner's Name Property Owner's Signature Ken Pruitt, Saint Lucie County Property Appraiser v: spa DR , 243.44 , IA Z€] 2A z� v ti Is `f v 661.55, 661.64 v - \� o .- 3 d \' a k C 22.63 :. €a ca V. 56 2M November 10,2015 iO mi 1:1,128 I r^� � 0 0.0075 0.015 0.03 -�V \ T. I ,-I 0 0.015 0.03 0.06 km This irdorma5on is deemed to be correct at tldstuoe Wtitissubject to change and isnotwa ranted ®Copyright 2015 Saint Luce County Property Appraiser.All right reserved.