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® `\{
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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:
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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
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mittec sulijp&to the compliance with the provisions of section
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9.0 .U1 ;oef;heSt'.xc�etyarid; eeloppnnent Code.
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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
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National ServSafe
Association
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.CERTIFICATION
JOSEPH Z E L L N E R --" -�------� r
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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).
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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
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#10655
In accordance with Maritone lnbou 30$
($2015 National AA logo ma trademarks of the NRAEF.
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Contact us Qh questions at 175 W Jodcwn Blvd.Ste 1500,Chicago,L 60604 or ServSafe@reska nt.omg.
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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
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®Copyright 2015 Saint Luce County Property Appraiser.All right reserved.