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Home My WebLink AboutZoning Compliance Mobile Food Vendor 1 (2) STATE OF FLORIDA DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION www.myfloridaticense.com RECEIPT FOR LICENSE LICENSE NUMBER:6650306 Rank:MFDV LICENSE TYPE:2014/Mobile Food Dispensing Vehicle PRINT DATE:Dec 21,201510:40 FILE NUMBER:37374 Seats/Units:0 This verifies that ANNIE'S MOBILE CATERING LLC Doing business as ANNIE'S MOBILE CATERING LLC has met the requirements for Mobile Food Dispensing Vehicle licensure to operate at: 4820 RIVER OAK LN FORT PIERCE FL 34981 This is authorization to operate for 30 days. An annual license will be mailed to the address on record within that period. Inspector Signature DIANNA R DAVIS SR SANITATION 8 SAFETY SPECIALIST 400 W ROBINSON STREET,801-N ORLANDO,FL 32801 850-487-1395,FAX 407-317-7839 Dec 21,2015 10:40 December 21,2015 at 10:40:13 AM EST Location:ANNIE'S MOBILE CATERING LLC Temporary License License#:MFOV6650306 Inspector.Davis,Dianna Software Version 4.22 Page: 1 of 1 STATE OF FLORIDA DNISTON 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 inspectidn Standards during tifa waif ANY VIOLATIONS noted herein must be corrected by the NEXT UNANNOUNCED inspection unless otherwise stated. Inspection Date: Dec 21,2015 10:09-Dec 21,2015 10:42 License Expiration: License Number. 6650306 Rank:MFDV Inspection Reason: Food-Licensing Inspection Owner Name: ANNIE'S MOBILE CATERING LLC Business Name: ANNIE'S MOBILE CATERING LLC Location Address: 4820 RIVER OAK LN License Type: Mobile Food Dispensing Vehicle -FORTT4ERCE FL 34981- Telephtne-•Number:- 772:201.516-1 Number of Units: 0 Reinspection on or After: FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS 01A Food obtained from approved source N/O 07 Unwrapped or PH/TCS food not re-served N/O 01 B Food safe and unadulterated;sound condition N/O 08A Separating raw animal foods from:each other,RTE foods and N/O unwashed produce M- SftdI1STdc9i=Fags,"comi"figrt'irig WA it8B"food preCec tori diiririg preparaGori,sCardge a d d 6puy *m 01D Parasite destruction for rawlundercooked fish N/A 09 Bare hand contact with RTE food;Alternative Operating N/O Procedure(AOP) 02A Consumer advisory on raw/undercooked oysters N/A 11 Employee health knowledge;ill/symptomatic employee N/0 present 02B Consumer advisory on raw/undercooked animal foods IN 12A Hands clean and washed properly,use of hand antiseptic if N/O use of AOR 02C-Dafie rtiariangTeadyto-eatf RT-E)-TYd1WWaIIyitiazardotis(time/" *10" 12B-frtiodyge eaft,dtmliirig,-teslmgfiiod,bYT oldtf -NRY temperature control for safety foods 03A Receiving and holding PH/TCS foods cold N/O 22 Food-contact surfaces clean and sanitized IN 03B Receiving and holding PH/TCS foods hot N/O 31A Handwash sink(s)installed,accessible,not used for other OUT purposes 03C Cooking raw animal foods and plant foods;non-continuous N/O 318 Handwashing supplies and handwash sign provided IN cooking of raw animal foods t13D'Catfiiitg PHfi CS f66ds propefcoo7'ingriietlsods WAY 41 1M9ffiidE119Xoiac 9UhS arfces W 03E Reheating PH/TCS foods for hot holding N/O 53A Food manager certification;knowledge/active managerial OUT control(except employee health) 03F Time as a Public Health Control N10 53B State approved food handler training;employee duty specific N/O training/knowledge 03G Reduced oxygen packaging(ROP)and other Special N/O Processes i I vugq ftETj►tt�PRAC ICES 02D Food items properly labeled;original container 35A No presence or breeding of insectslrodents/pests;no live animals 04 Facilities to maintain PH/TCS 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 properly vented 06 PH/TCS foods properly thawed 38 Lighting provided as required;fixtures shielded or bulbs protected 10 In use food dispensing utensils properly stored 40 Employee personal belongings 13 Clean clothes;hair restraints;jewelry;painted/artificial 42 Cleaning and maintenance equipment fingernails 14 Food-contact and nonfood contact surfaces designed, OUT 43 Complete separation from living/sleeping arealprivate constructed,maintained,installed,located premise;kitchen restricted-no unauthorized personnel 16 Dishwashing facilities;chemical test kit(s);gauges 145 Fire extinguishing equipment(FOR REPORTING 1..Wash, 2.Nose, 3.Sanitize, IPURPOSES.ONLY), December 21,2015 at 10:42:03 AM EST Location:ANNIE'S MOBILE CATERING LLC Food Service Inspecdon Report License#MFDV6550306 DBPR Form HR 5022-015-Rule 61 C•1.002,FAC Inspector.Davis,Dianna Software Version 4.22 Page: 1 or 3 STATE OF FLORIDA DIVISION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION www.myfloridalicerise.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 49 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 wastewater disposed properly 51 Other conditions sanitary and safe operation 29- -Plomtfng inslailectandlrnafirtafned;mup sinlc'araTerfilters; 53 ic1tisrEprBstsntatiiirr mistirandirig backflow prevention 32 Bathrooms 54 Florida Clean Indoor Air Act Compliance 33 Garbage and refuse;premises maintained 155 Automatic Gratuity Notice Items marked IN are in compliance.Items marked OUT are violations.Speck 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 Line Cook Line Front Counter Front Line Kitchen NO FOODSATTHIS TIME. LICENSING ONLY Prep Area Reach In Cooler Reach In Freezer Steam Table/Bain Marie Storage Area Watt Station Walk In Cooler Walk In Freezer Cooking Cooling Reheating OTHER ITEMS ed.F.Gad MaageranclDate-rerrffiPc_ Manager Certified By: Employees Trained By: Sewage: Municipal/Utility Water Source: Municipal Boiler: No Boiler On-Site Boiter Jw isdietisn NOT A IPLtCA$L-E Sanitizer Details: NOT SET UP-has QUATERNARY and QUATERNARY test strips available December 21,2015 at 10:42:03 AM EST Location:ANNIE'S MOBILE CATERING LLC Food Service Inspection Report License#:MFDV6650306 DBPR Form HR 5022-015-Rule 6141.002,FAC Inspector.Davis,Dianna Software Version 4.22 Page: 2 of 3